Immediate release eplerenone compositions

ABSTRACT

The invention relates to oral pharmaceutical compositions useful as aldosterone receptor blockers comprising the active agent micronized eplerenone in an amount of about 10 mg to about 1000 mg and one or more carrier materials.

This application is a continuation of application Ser. No. 09/456,614filed on Dec. 8, 1999, now U.S. Pat. No. 6,410,054, which claimspriority of U.S. provisional application Ser. No. 60/111,646 filed onDec. 9, 1998.

DESCRIPTION Technical Field

The present invention relates to pharmaceutical compositions comprisingthe compound eplerenone as an active ingredient, and more particularlyto pharmaceutical compositions containing micronized eplerenone, methodsof treatment comprising administering such pharmaceutical compositionsto a subject in need thereof, and the use of such compositions in themanufacture of medicaments.

BACKGROUND OF THE INVENTION

The compound methyl hydrogen9,11α-epoxy-17α-hydroxy-3-oxopregn-4-ene-7α,21-dicarboxylate, γ-lactone(also referred to herein as eplerenone) was first reported in Grob etal., U.S. Pat. No. 4,559,332 that describes and claims a class of9,11-epoxy steroid compounds and their salts together with processes forthe preparation of such compounds. These 9,11-epoxy steroid compoundsare described as aldosterone antagonists that can be administered in atherapeutically effective amount to treat pathological conditionsassociated with hyperaldosteronism such as hypertension, cardiacinsufficiency and cirrhosis of the liver. U.S. Pat. No. 4,559,332contains general references to formulations for the administration ofthese 9,11-epoxy steroid compounds such as tablets and capsules.

Eplerenone corresponds in structure to Formula I, below:

Spironolactone, another 20-spiroxane-steroid having activity as analdosterone antagonist, is commercially available for the treatment ofhypertension. Spironolactone corresponds in structure to Formula II,below:

Spironolactone, however, exhibits antiandrogenic activity that canresult in gynecomastia and impotence in men, and weak progestationalactivity that produces menstrual irregularities in women. Commercialformulations of spironolactone (sold under the name Aldactone™) contain25, 50 or 100 mg doses of spironolactone in a matrix comprising, amongother carrier materials, calcium sulfate dihydrate as a diluent, maizestarch as a disintegrant, povidone K-30 as a binding agent, magnesiumstearate as a lubricant, and flavor, colorant, and coating ingredientsthat include hydroxypropylmethylcellulose and polyethylene glycol 400.

de Gasparo et al., in Journal of Steroid Biochemistry 32 (1B), 223-227(1989) report the use of spironolactone and epoxymexrenone in receptorbinding studies. Those materials, with spironolactone in a commercialformulation with a particle size of 5 microns and the epoxymexrenone ata particle size of 20 microns in a non-formulated composition, were alsoused in vivo to study excretion of sodium in urine.

BRIEF SUMMARY OF THE INVENTION

The effective administration of eplerenone to a subject has beencomplicated by the compound's low solubility and low compressibility aswell as by its other physical and chemical properties. Pharmaceuticalcompositions comprising micronized eplerenone and a pharmaceuticallyacceptable carrier material, however, have been discovered that caneffectively deliver a therapeutically preferred amount of the compoundto the subject. In addition, unique combinations of carrier materialwith the micronized eplerenone have been found that provide still bettersolubilization characteristics. These combinations of active compoundand carrier material have been found to possess improvedbioavailability, chemical stability, physical stability, dissolutionprofiles, disintegration times, safety, as well as other improvedpharmacokinetic, chemical and/or physical properties. The presentinvention comprises these pharmaceutical compositions, unit dosage formsbased thereon, and methods for the preparation and use of both.

BRIEF DESCRIPTION OF THE DRAWINGS

In the drawing forming a portion of this disclosure, FIG. 1, shown intwo portions as FIG. 1A and 1B, is a schematic diagram of amanufacturing process for a composition of this invention.

DETAILED DESCRIPTION OF THE INVENTION

It has been discovered that pharmaceutical compositions comprisingmicronized eplerenone as the active ingredient in a daily dosage amountabout 10 mg to about 1000 mg along with a pharmaceutically acceptablecarrier material are unique compositions exhibiting superior performanceas aldosterone receptor blockers. Such pharmaceutical compositionsexhibit superior activity, potency, safety and therapeutic effectivenessat this dosage range. These compositions provide eplerenone to a patientat a dosage that is sufficient to provide prolonged blocking ofaldosterone receptors and thus confer the desired therapeutic benefit,while maintaining a safe clearance time. Undesirable side effects suchas, but not limited to, gastrointestinal irritation, antiandrogenic andprogestational activity are also minimized with the pharmaceuticalcompositions of the present invention.

These pharmaceutical compositions are advantageously used to blockaldosterone receptors and, among other pharmacological actions, canincrease sodium and water excretion with a concomitant potassium-sparingeffect. Such compositions can be specifically employed for theprophylaxis and treatment of cardiovascular diseases such as heartfailure; hypertension (especially the management of mild to moderatehypertension); edema associated with liver insufficiency;post-myocardial infarction; cirrhosis of the liver; stroke prevention;and reduction of heart rate for subjects exhibiting an accelerated heartrate. These pharmaceutical compositions exhibit, among other features,(i) improved selectivity for aldosterone receptors, (ii) reduced bindingaffinity to the progesterone and androgen receptor, and (iii) reducedinterference from plasma proteins.

Besides being useful for human treatment, these compositions are alsouseful for veterinary treatment of companion animals, exotic animals andfarm animals, including mammals, rodents and the like. More preferrednon-human animals include horses, dogs, and cats.

Unformulated eplerenone administered in capsule form is not wellabsorbed in the gastrointestinal tract. Accordingly, a need exists forsuitable eplerenone dosage forms. The pharmaceutical compositions of thepresent invention provide these dosage forms and exhibit one or moresuperior properties relative to unformulated eplerenone and/or othercompositions comprising eplerenone. These superior properties include,but are not limited to, one or more of the following:

(1) improved bioavailability;

(2) improved solubility of the pharmaceutical composition;

(3) decreased disintegration times for immediate release oral dosageforms;

(4) decreased dissolution times for immediate release oral dosage forms;

(5) improved dissolution profiles for controlled release oral dosageforms;

(6) decreased tablet friability;

(7) increased tablet hardness;

(8) improved safety for oral dosage forms;

(9) reduced moisture content and/or hygroscopicity for oral dosageforms;

(10) improved composition wettability;

(11) improved particle size distribution of eplerenone;

(12) improved composition compressibility;

(13) improved composition flow properties;

(14) improved chemical stability of the final oral dosage form;

(15) improved physical stability of the final oral dosage form;

(16) decreased tablet size;

(17) improved blend uniformity;

(18) improved dose uniformity;

(19) increased granule density for wet granulated compositions;

(20) reduced water requirements for wet granulation;

(21) reduced wet granulation time; and/or

(22) reduced drying time for wet granulated mixtures.

Micronized Eplerenone

Although the pharmaceutical compositions are effective for broad rangeof particle sizes for the initial eplerenone starting material used inthe compositions, it has been discovered that reduction of the particlesize to a D₉₀ particle size of about 25 to about 400 microns can improveeplerenone bioavailability. Eplerenone particles having a D₉₀ particlesize of about 25 to about 400 microns are referred to herein asmicronized eplerenone or micronized eplerenone particles.

Accordingly, the D₉₀ particle size (that is, the particle size of atleast 90% of the particles) of the eplerenone used as a startingmaterial in the composition is less than about 400 microns, preferablyless than about 200 microns, more preferably less than about 150microns, still more preferably less than about 100 microns, and stillmore preferably less than 90 microns. A particularly preferred D₉₀particle size is about 30 to about 110 microns, and more particularlystill about 30 to about 50 microns. In other preferred embodiments, aparticularly preferred D₉₀ particle size is about 50 to about 150microns, and more preferably about 75 to about 125 microns. Micronizedeplerenone so sized also typically exhibits a D₁₀ particle size of lessthan 10 microns. For example, as illustrated in Example 30, reducing theD₉₀ particle size of the starting material eplerenone from about 220microns to about 90 microns can materially improve the bioavailabilityof the pharmaceutical composition.

Eplerenone Dosage of Pharmaceutical Composition

The pharmaceutical compositions of the present invention comprisemicronized eplerenone in an amount of about 10 mg to about 1000 mg.Preferably, the pharmaceutical compositions comprise micronizedeplerenone in an amount of about 20 mg to about 400 mg, more preferablyfrom about 25 mg to about 200 mg, and still more preferably from about25 mg to about 150 mg.

Treatment of Specific Conditions and Disorders

The pharmaceutical compositions of the present invention are usefulwhere administration of an aldosterone receptor blocker is indicated. Ithas been found that these compositions are particularly effective in thetreatment of cardiovascular diseases such as heart failure; hypertension(especially the management of mild to moderate hypertension); edemaassociated with liver insufficiency; post-myocardial infarction;cirrhosis of the liver; stroke prevention; and reduction of heart ratefor subjects exhibiting an accelerated heart rate.

For the treatment of heart failure, the pharmaceutical compositionpreferably provides a daily dosage of eplerenone in the amount of about25 mg to about 200 mg, more preferably about 25 mg to about 75 mg, andstill more preferably about 50 mg. A daily dose of about 0.33 to 2.67mg/kg body weight (based upon an average body weight of about 75 kg),preferably between about 0.33 and about 1.00 mg/kg body weight and mostpreferably 0.67 mg/kg body weight, may be appropriate. The daily dosecan be administered in one to four doses per day, preferably one doseper day.

For the treatment of hypertension, the pharmaceutical compositionpreferably provides a daily dosage of eplerenone in the amount of about50 mg to about 300 mg, more preferably about 50 mg to about 150 mg, andstill more preferably about 100 mg. A daily dose of about 0.67 to 4.00mg/kg body weight, preferably between about 0.67 and about 2.00 mg/kgbody weight and most preferably about 1.33 mg/kg body weight, may beappropriate. The daily dose can be administered in one to four doses perday, preferably one dose per day.

For the treatment of edema associated with liver insufficiency, thepharmaceutical composition preferably provides a daily dosage ofeplerenone in the amount of about 50 mg to about 500 mg, more preferablyabout 100 mg to 400 about mg, and still more preferably about 300 mg. Adaily dose of about 0.67 to 6.67 mg/kg body weight, preferably betweenabout 1.33 and about 5.33 mg/kg body weight and most preferably about4.00 mg/kg body weight, may be appropriate. The daily dose can beadministered in one to four doses per day, preferably one dose per day.

It has been found that the pharmaceutical compositions of the presentinvention provide a therapeutic effect as aldosterone receptor blockersin humans over an interval of about 12 to 24 hours, preferably about 24hours, after oral administration.

In general, the pharmaceutical compositions of the present inventionprovide a daily dosage of eplerenone sufficient to cause an increase inblood serum renin and aldosterone concentrations in humans over aninterval of about 12 to 24 hours, preferably about 24 hours, after oraladministration. Specifically, these compositions provide a daily dosageof eplerenone sufficient to cause an average increase in blood serumrenin concentration over an interval of about 12 to 24 hours, preferablyabout 24 hours, after ingestion of the composition of at least about10%. Similarly, these compositions provide a daily dosage of eplerenonesufficient to cause an average increase in blood serum aldosteroneconcentrations over an interval of about 12 to 24 hours, preferablyabout 24 hours, after ingestion of the composition of at least about50%.

It also has been found that the pharmaceutical compositions of thepresent invention provide a daily dosage of eplerenone sufficient tocause an average increase in the urinary log₁₀ (sodium/potassium) ratioin humans over an interval of about 12 to 24 hours, preferably about 24hours, after ingestion of the composition.

It also has been found that the pharmaceutical compositions of thepresent invention provide a daily dosage of eplerenone sufficient tocause an average decrease in diasystolic blood pressure in humans overan interval of about 12 to 24 hours, preferably about 24 hours, afteringestion of the composition of at least about 5%.

Unit Dosages

Dosage unit forms of the pharmaceutical compositions can typicallycontain, for example, 10, 20, 25, 37.5, 50, 75, 100, 125, 150, 175, 200,250, 300, 350 or 400 mg of eplerenone. Preferred dosage unit formscontain about 25, 50, 100, or 150 mg of micronized eplerenone. Thedosage unit form can be selected to accommodate the desired frequency ofadministration used to achieve the specified daily dosage. The amount ofthe unit dosage form of the pharmaceutical composition that isadministered and the dosage regimen for treating the condition ordisorder depends on a variety of factors, including the age, weight, sexand medical condition of the subject, the severity of the condition ordisorder, the route and frequency of administration, and thus can varywidely, as is well known.

It has been discovered, however, that the efficacy of the required dailydosage of the pharmaceutical compositions of the present invention doesnot appear to materially differ for once-a-day administration relativeto twice-a-day administration with respect to the compositions describedin this application. While not wishing to be bound by theory, it ishypothesized that the compositions of the present invention deliver anamount of eplerenone sufficient to inhibit a protracted genomic responsecaused by aldosterone binding to the aldosterone receptor site.Interruption of aldosterone binding by eplerenone preventsaldosterone-induced gene product synthesis resulting in an extendedperiod of functional aldosterone receptor blockade that does not requirea sustained plasma eplerenone concentration. Accordingly, once-a-dayadministration is preferred for such tablets for convenience ofadministration.

Preparation of Eplerenone

The eplerenone of the novel pharmaceutical compositions of the presentinvention can be prepared using the methods set forth in Grob et al.,U.S. Pat. No. 4,559,332 and Ng et al., WO 98/25948, particularly scheme1 set forth in Ng. et al., WO 98/25948, both of whose disclosures areincorporated by reference.

Form of Pharmaceutical Compositions

The pharmaceutical compositions of the present invention comprisemicronized eplerenone in association with one or more non-toxic,pharmaceutically-acceptable carriers, excipients and/or adjuvants(collectively referred to herein as “carrier materials”). The carriermaterials are acceptable in the sense of being compatible with the otheringredients of the composition and are not deleterious to the recipient.The pharmaceutical compositions of the present invention can be adaptedfor administration by any suitable route by selection of appropriatecarrier materials and a dosage of eplerenone effective for the treatmentintended. For example, these compositions can be prepared in a formsuitable for administration orally, intravascularly, intraperitoneally,subcutaneously, intramuscularly (IM) or rectally. Accordingly, thecarrier material employed can be a solid or a liquid, or both, and ispreferably formulated with the compound as a unit-dose composition, forexample, a tablet, which can contain from about 1% to about 95%,preferably about 10% to about 75%, more preferably about 20% are toabout 60%, and still more preferably about 20% to about 40%, by weightof micronized eplerenone. Such pharmaceutical compositions of theinvention can be prepared by any of the well known techniques ofpharmacy, consisting essentially of admixing the components.

Oral Administration

For oral administration, the pharmaceutical composition can contain adesired amount of micronized eplerenone and be in the form of, forexample, a tablet, a hard or soft capsule, a lozenge, a cachet, adispensable powder, granules, a suspension, an elixir, a liquid, or anyother form reasonably adapted for oral administration. Such apharmaceutical composition is preferably made in the form of a discretedosage unit containing a predetermined amount of eplerenone, such astablets or capsules. Such oral dosage forms can further comprise, forexample, buffering agents. Tablets, pills and the like additionally canbe prepared with enteric coatings. Unit dosage tablets or capsules arepreferred.

Pharmaceutical compositions suitable for buccal (sub-lingual)administration include, for example, lozenges comprising eplerenone in aflavored base, such as sucrose, and acacia or tragacanth, and pastillescomprising eplerenone in an inert base such as gelatin and glycerin orsucrose and acacia.

Liquid dosage forms for oral administration can include pharmaceuticallyacceptable emulsions, solutions, suspensions, syrups, and elixirscontaining inert diluents commonly used in the art, such as water. Suchcompositions can also comprise, for example, wetting agents, emulsifyingand suspending agents, and sweetening, flavoring, and perfuming agents.

Examples of suitable liquid dosage forms include, but are not limited,aqueous solutions comprising eplerenone and β-cyclodextrin or a watersoluble derivative of β-cyclodextrin such as sulfobutyl etherβ-cyclodextrin; heptakis-2,6-di-O-methyl-β-cyclodextrin;hydroxypropyl-β-cyclodextrin; and dimethyl-β-cyclodextrin.

Administration By Injection

The pharmaceutical compositions of the present invention can also beadministered by injection (intravenous, intramuscular, subcutaneous orjet). Such injectable compositions can employ, for example, saline,dextrose, or water as a suitable carrier material. The pH value of thecomposition can be adjusted, if necessary, with suitable acid, base, orbuffer. Suitable bulking, dispersing, wetting or suspending agents,including mannitol and polyethylene glycol (such as PEG 400), can alsobe included in the composition. A suitable parenteral composition canalso include eplerenone in injection vials. Aqueous solutions can beadded to dissolve the composition prior to injection.

Rectal Administration

The pharmaceutical compositions can be administered in the form of asuppository or the like. Such rectal formulations preferably containmicronized eplerenone in a total amount of, for example, 0.075 to 30%w/w, preferably 0.2 to 20% w/w and most preferably 0.4 to 15% w/w.Carrier materials such as cocoa butter, theobroma oil, and other oil andpolyethylene glycol suppository bases can be used in such compositions.Other carrier materials such as coatings (for example, hydroxypropylmethylcellulose film coating) and disintegrants (for example,croscarmellose sodium and cross-linked povidone) can also be employed ifdesired.

As indicated above, these pharmaceutical compositions can be prepared byany suitable method of pharmacy which includes the step of bringing intoassociation eplerenone and the carrier material or carriers materials.In general, the compositions are prepared by uniformly and intimatelyadmixing the active compound with a liquid or finely divided solidcarrier, or both, and then, if necessary, shaping the product. Forexample, a tablet can be prepared by compressing or molding a powder orgranules of the compound, optionally with one or more accessoryingredients. Compressed tablets can be prepared by compressing, in asuitable machine, the compound in a free-flowing form, such as a powderor granules optionally mixed with a binding agent, lubricant, inertdiluent and/or surface active/dispersing agent(s). Molded tablets can bemade by molding, in a suitable machine, the powdered compound moistenedwith an inert liquid diluent.

Carrier Materials

As noted above, for therapeutic purposes, the pharmaceuticalcompositions of the present invention comprise micronized eplerenone ina desired amount in combination with one or morepharmaceutically-acceptable carrier materials appropriate to theindicated route of administration. Oral dosage forms of thepharmaceutical compositions of the present invention preferably comprisemicronized eplerenone in a desired amount admixed with one or morecarrier materials selected from the group consisting of diluents,disintegrants, binding agents and adhesives, wetting agents, lubricants,anti-adherent agents and/or other carrier materials. More preferably,such compositions are tableted or encapsulated for convenientadministration. Such capsules or tablets can be in the form of immediaterelease capsules or tablets, or can contain a controlled-releaseformulation as can be provided, for example, in a dispersion ofeplerenone in hydroxypropyl methylcellulose.

Injectable dosage forms preferably are adapted for parenteral injection.Preferably, these dosage forms comprise micronized eplerenone in aqueousor non-aqueous isotonic sterile injection solutions or suspensions, suchas eplerenone suspended or dissolved in water, polyethylene glycol,propylene glycol, ethanol, corn oil, cottonseed oil, peanut oil, sesameoil, benzyl alcohol, sodium chloride, and/or various buffers. Thesesolutions and suspensions can be prepared from sterile powders orgranules having one or more of the carriers or diluents mentioned foruse in the formulations for oral administration.

The selection and combination of carrier materials used in thepharmaceutical compositions of the present invention providescompositions exhibiting improved performance with respect to, amongother properties, efficacy, bioavailability, clearance times, stability,compatibility of eplerenone and carrier materials, safety, dissolutionprofile, disintegration profile and/or other pharmacokinetic, chemicaland/or physical properties. The carrier materials preferably are watersoluble or water dispersible and have wetting properties to offset thelow aqueous solubility and hydrophobicity of eplerenone. Where thecomposition is formulated as a tablet, the combination of carriermaterials selected provides tablets that can exhibit, among otherproperties, improved dissolution and disintegration profiles, hardness,crushing strength, and/or friability.

Diluents

The pharmaceutical compositions of the present invention optionally cancomprise one or more diluents as a carrier material. Suitable diluentscan include, either individually or in combination, such diluents aslactose USP; lactose USP, anhydrous; lactose USP, spray dried; starchUSP; directly compressible starch; mannitol USP; sorbitol; dextrosemonohydrate; microcrystalline cellulose NF; dibasic calcium phosphatedihydrate NF; sucrose-based diluents; confectioner's sugar; monobasiccalcium sulfate monohydrate; calcium sulfate dihydrate NF; calciumlactate trihydrate granular NF; dextrates NF (e.g., Emdex™); Celutab™;dextrose (e.g., Cerelose™); inositol; hydrolyzed cereal solids such asthe Maltrons™ and Mor-Rex™; amylose; Rexcel™; powdered cellulose (e.g.,Elcema™); calcium carbonate; glycine; bentonite; polyvinylpyrrolidone;and the like. The present pharmaceutical compositions comprise one ormore diluents in the range of about 5% to about 99%, preferably about25% to about 90%, and more preferably about 40% to about 80%, of thetotal weight of the composition. The diluent or diluents selectedpreferably exhibit suitable compressibility and pre-compression flowproperties.

Microcrystalline cellulose (e.g. Avicel® PH 101) and lactose, eitherindividually or in combination (both diluents are present), arepreferred diluents. Both diluents are chemically compatible withmicronized eplerenone. The use of extragranular microcrystallinecellulose (that is, microcrystalline cellulose added to a wet granulatedcomposition after the drying step) in addition to intragranularmicrocrystalline cellulose (that is, microcrystalline cellulose added tothe composition during or before the wet granulation step) can be usedto improve tablet hardness and/or disintegration time. Lactose,especially lactose monohydrate, is particularly preferred. Lactosetypically provides pharmaceutical compositions having suitableeplerenone release rates, stability, pre-compression flowability, anddrying properties at a relatively low diluent cost.

Disintegrants

The pharmaceutical compositions of the present invention optionally cancomprise one or more disintegrants as a carrier material, particularlyfor tablet formulations. Suitable disintegrants can include, eitherindividually or in combination, such disintegrants as starches; sodiumstarch glycolate; clays (such as Veegum™ HV); celluloses (such aspurified cellulose, methylcellulose and sodium carboxymethylcellulose,and carboxymethylcellulose); alginates; pregelatinized corn starches(such as National™ 1551 and National™ 1550); crospovidone USP NF; gums(such as agar, guar, locust bean, Karaya™, pectin, and tragacanth).Disintegrants can be added at any suitable step during the preparationof the pharmaceutical composition, particularly prior to granulation orduring the lubrication step prior to compression. The presentpharmaceutical compositions comprise one or more disintegrants in therange of about 0.5% to about 30%, preferably about 1% to about 10%, andmore preferably about 2% to about 6%, of the total weight of thecomposition.

Croscarmellose sodium is a preferred disintegrant for tabletformulations, preferably in the range of about 1% to about 10%,preferably about 2% to about 6%, and more preferably about 5%, by weightof the composition.

Binding Agents and Adhesives

The pharmaceutical compositions of the present invention optionally cancomprise one or more binding agents or adhesives as a carrier material.Such binding agents and adhesives preferably impart sufficient cohesionto the powders to permit normal processing such as sizing, lubrication,compression and packaging, but still permit the tablet to disintegrateand the composition to dissolve upon ingestion. Suitable binding agentsand adhesives include, either individually or in combination, suchbinding agents and adhesives as acacia; tragacanth; sucrose; gelatin;glucose; starch; cellulose materials such as, but not limited to,methylcellulose and sodium carboxymethylcellulose (e.g., Tylose™);alginic acid and salts of alginic acid; magnesium aluminum silicate;polyethylene glycol; guar gum; polysaccharide acids; bentonites;polyvinylpyrrolidone (povidone); polymethacrylates; hydroxypropylmethylcellulose (HPMC); hydroxypropyl cellulose (Klucel™); ethylcellulose (Ethocel™); pregelatinized starch (such as National™ 1511 andStarch 1500). The present pharmaceutical compositions comprise one ormore binding agents and/or adhesives in the range of about 0.5% to about25%, preferably about 0.75% to about 15%, and more preferably about 1%to about 10%, of the total weight of the composition.

Hydroxypropyl methylcellulose is a preferred binding agent used impartcohesive properties to the powder blend of the eplerenone formulation.The compositions preferably comprise hydroxypropyl methylcellulose as abinding agent in a range of about 0.5% to about 10%, more preferablyabout 1% to about 8%, and still more preferably about 2% to about 4%, ofthe total weight of the composition. Low molecular weight hydroxypropylmethylcellulose having a viscosity of about 2 cps to about 8 cpstypically can be used, although viscosities of about 2 cps to about 6cps are preferred, particularly viscosities of about 2 cps to about 4cps. Viscosities are measured as a 2 percent solution in water at 20° C.Methoxy content of the hydroxypropyl methylcellulose typically is about15% to about 35%, whereas hydroxypropyl content is typically up to about15%, preferably about 2% to about 12%.

Wetting Agents

Eplerenone, even micronized eplerenone, is largely insoluble in aqueoussolution. Accordingly, the pharmaceutical compositions of the presentinvention optionally can comprise one or more wetting agents as acarrier material, particularly for tablet formulations. Such wettingagents preferably maintain eplerenone in solution and improve thebioavailability of the pharmaceutical composition. Suitable wettingagents. include, either individually or in combination, such wettingagents as oleic acid; glyceryl monostearate; sorbitan monooleate;sorbitan monolaurate; triethanolamine oleate; polyoxyethylene sorbitanmono-oleate; polyoxyethylene sorbitan monolaurate; sodium oleate; andsodium lauryl sulfate. Wetting agents that are anionic surfactants arepreferred. The present pharmaceutical compositions comprise one or morewetting agents present at about 0.1% to about 15%, preferably about0.25% to about 10%, and more preferably about 0.5% to about 5%, of thetotal weight of the composition.

Sodium lauryl sulfate is a preferred wetting agent for tabletformulations. The compositions of the present invention preferablycomprise sodium lauryl sulfate as the wetting agent at about 0.25% toabout 7%, more preferably about 0.4% to about 4%, and still morepreferably about 0.5 to about 2%, of the total weight of thecomposition.

Lubricants

The pharmaceutical compositions of the present invention optionallycomprises one or more lubricants and/or glidants as a carrier material.Suitable lubricants and/or glidants include, either individually or incombination, such lubricants and/or glidants as glyceryl behenate(Compritol™ 888); metalllic stearates (e.g., magnesium, calcium andsodium stearates); stearic acid; hydrogenated vegetable oils (e.g.,Sterotex™); talc; waxes;

Stearowet™; boric acid; sodium benzoate and sodium acetate; sodiumchloride; DL-Leucine; polyethylene glycols (e.g., Carbowax™ 4000 andCarbowax™ 6000); sodium oleate; sodium benzoate; sodium acetate; sodiumlauryl sulfate; sodium stearyl fumarate (Pruv™); and magnesium laurylsulfate. The present pharmaceutical compositions comprise one or morelubricants at about 0.1% to about 10%, preferably about 0.2% to about8%, and more preferably about 0.25% to about 5%, of the total weight ofthe composition.

Magnesium stearate is a preferred lubricant used to reduce frictionbetween the equipment and granulation during compression.

Anti-Adherent Agents or Glidants

The pharmaceutical compositions of the present invention optionally cancomprise one or more anti-adherent agents or glidants as a carriermaterial. Suitable anti-adherents or glidants include, eitherindividually or in combination, such anti-adherents as talc, cornstarch,Cab-O-Sil™, Syloid™, DL-Leucine, sodium lauryl sulfate, and metallicstearates. The present pharmaceutical compositions comprise one or moreanti-adherents or glidants at about 0.1% to about 15%, preferably about0.25% to about 10%, and more preferably about 0.5% to about 5%, of thetotal weight of the composition.

Talc is a preferred anti-adherent or glidant agent used to reduceformulation sticking to equipment surfaces and also to reduce static inthe blend. The compositions preferably comprise talc at about 0.1% toabout 10%, more preferably about 0.25% to about 5%, and still morepreferably about 0.5% to about 2%, of the total weight of thecomposition.

Other carrier materials (such as colorants, flavors and sweeteners) andmodes of administration are known in the pharmaceutical art and can beused in the preparation of the pharmaceutical compositions of thepresent invention. Tablets can be coated or uncoated.

In one embodiment of the present invention, the pharmaceuticalcompositions comprise micronized eplerenone in a desired amount and oneor more cellulosic carrier materials. The term “cellulosic carriermaterials” embraces carrier materials comprising cellulose or acellulose derivative such as purified cellulose; microcrystallinecellulose; and alkyl celluloses and their derivatives and salts (e.g.,methylcellulose, sodium carboxymethyl-cellulose, carboxymethylcellulose,croscarmellose sodium, hydroxypropyl cellulose, hydroxypropylmethylcellulose and the like). Preferably, at least one carrier materialis a cellulosic material selected from the group consisting ofC₁-C₆-alkyl celluloses and their derivatives and salts. Still morepreferably, this cellulosic material is selected from the groupconsisting of hydroxyalkyl alkylcelluloses and their derivatives andsalts. Still more preferably, this cellulosic material is selected fromthe group consisting of hydroxy(C₂-C₄-alkyl) (C₁-C₄-alkyl)celluloses andtheir derivatives and salts.

These pharmaceutical compositions comprising micronized eplerenone in adesired amount and one or more cellulosic carrier materials preferablyfurther comprise one or more carrier materials selected from the groupconsisting of diluents, disintegrants, binding agents, wetting agents,lubricants and anti-adherent agents. More preferably, thesepharmaceutical compositions comprise one or more carrier materialsselected from the group consisting of lactose, microcrystallinecellulose, croscarmellose sodium, hydroxypropyl methylcellulose, sodiumlauryl sulfate, magnesium stearate, and talc. Still more preferably,these pharmaceutical compositions comprise lactose monohydrate,microcrystalline cellulose, croscarmellose sodium, and hydroxypropylmethylcellulose. Still more preferably, these pharmaceuticalcompositions further comprise one or more of the carrier materialssodium lauryl sulfate, magnesium stearate, and talc.

The individual pharmaceutically acceptable carrier materials describedin the above embodiment optionally can be replaced with other suitablecarrier materials if desired. Acceptable substitute carrier materialsare chemically compatible both with eplerenone and with the othercarrier materials. Although other diluents, disintegrants, bindingagents and adhesives, wetting agents, lubricants and/or anti-adherent orglidant agents can be employed, it has been discovered, however, thatthe pharmaceutical compositions comprising micronized eplerenone,lactose, microcrystalline cellulose, croscarmellose sodium, andhydroxypropyl methylcellulose, and, optionally, sodium lauryl sulfate,magnesium stearate, and/or talc possess a superior combination ofpharmacokinetic, chemical and/or physical properties relative to suchother compositions.

In another embodiment, the pharmaceutical composition comprises:

about 1 to about 95 weight percent of micronized eplerenone;

about 5 to about 99 weight percent of a pharmaceutically acceptablydiluent;

about 0.5 to about 30 weight percent of a pharmaceutically acceptablydisintegrant; and

about 0.5 to about 25 weight percent of a pharmaceutically acceptablybinding agent.

These pharmaceutical compositions optionally can additionally compriseabout 0.25 to about 15 weight percent of a pharmaceutically acceptablywetting agent; about 0.1 to about 10 weight percent of apharmaceutically acceptably lubricant; about 0.1 to about 15 weightpercent of a pharmaceutically acceptably anti-adherent agent.

The term “weight percent” as used herein means the weight percent of aspecified ingredient based upon the total weight of all ingredients ofthe composition.

In still another embodiment, the pharmaceutical composition comprisesmicronized eplerenone and a cellulosic carrier material wherein thecompositions are in oral dosage form, preferably tablets or capsules.Preferably, the composition further comprises one or more carriermaterials selected from the group consisting of lactose monohydrate,microcrystalline cellulose, croscarmellose sodium, hydroxypropylmethylcellulose, sodium lauryl sulfate, talc, and magnesium stearate. Itis particularly preferred that the various components of the compositionbe present in the amounts or the weight fractions set forth below.

In still another embodiment, the pharmaceutical compositions are in theform of unit dosage tablets or capsules.

In still another embodiment, the pharmaceutical compositions comprisemicronized eplerenone and one or more carrier materials in the form ofan oral unit dosage suitable for once-a-day or twice-a-day oraladministration. Still more preferably, these pharmaceutical compositionscomprise micronized eplerenone and one or more carrier materialsselected from the group consisting of lactose monohydrate,microcrystalline cellulose, croscarmellose sodium, hydroxypropylmethylcellulose, sodium lauryl sulfate, talc, and magnesium stearate. Itis particularly preferred that the various components of the compositionbe present in the amounts or the weight fractions set forth below.

In still another embodiment, the pharmaceutical compositions comprisemicronized eplerenone and one or more carrier materials that when orallyadministered to a human patient in need thereof provide a therapeuticeffect as an aldosterone receptor blocker over an interval of about 12to about 24 hours, preferably at least about 24 hours, after oraladministration. Still more preferably, these pharmaceutical compositionscomprise micronized eplerenone and one or more carrier materialsselected from the group consisting of lactose monohydrate,microcrystalline cellulose, croscarmellose sodium, hydroxypropylmethylcellulose, sodium lauryl sulfate, talc, and magnesium stearate. Itis particularly preferred that the various components of the compositionbe present in the amounts or the weight fractions set forth below.

In still another embodiment, the pharmaceutical compositions comprisemicronized eplerenone and one or more carrier materials that when orallyadministered to a human patient in need thereof cause an averageincrease in blood serum renin concentration over an interval of about 12to 24 hours, preferably about 24 hours, after ingestion of thecomposition of at least about 10%. Still more preferably, thesepharmaceutical compositions comprise micronized eplerenone and one ormore carrier materials selected from the group consisting of lactosemonohydrate, microcrystalline cellulose, croscarmellose sodium,hydroxypropyl methylcellulose, sodium lauryl sulfate, talc, andmagnesium stearate.

It is particularly preferred that the various components of thecomposition be present in the amounts or the weight fractions set forthbelow.

In still another embodiment, the pharmaceutical compositions comprisemicronized eplerenone and one or more carrier materials that when orallyadministered to a human patient in need thereof cause an averageincrease in blood serum aldosterone concentration over an interval ofabout 12 to 24 hours, preferably about 24 hours, after ingestion of thecomposition of at least about 50%. Still more preferably, thesepharmaceutical compositions comprise micronized eplerenone and one ormore carrier materials selected from the group consisting of lactosemonohydrate, microcrystalline cellulose, croscarmellose sodium,hydroxypropyl methylcellulose, sodium lauryl sulfate, talc, andmagnesium stearate. It is particularly preferred that the variouscomponents of the composition be present in the amounts or the weightfractions set forth below.

In yet another embodiment, the pharmaceutical compositions comprisemicronized eplerenone and one or more carrier materials that when orallyadministered to a human patient in need thereof cause an averagedecrease in diastolic blood pressure over an interval of about 12 to 24hours, preferably about 24 hours, after ingestion of the composition ofat least about 5%. Still more preferably, these pharmaceuticalcompositions comprise micronized eplerenone and one or more carriermaterials selected from the group consisting of lactose monohydrate,microcrystalline cellulose, croscarmellose sodium, hydroxypropylmethylcellulose, sodium lauryl sulfate, talc, and magnesium stearate. Itis particularly preferred that the various components of the compositionbe present in the amounts or the weight fractions set forth below.

In still another embodiment, the pharmaceutical compositions comprisemicronized eplerenone and one or more carrier materials that when orallyadministered to a human patient in need thereof cause an averageincrease in the urinary log₁₀ (sodium/potassium) ratio over an intervalof about 12 to 24 hours, preferably about 24 hours, after ingestion ofthe composition. Still more preferably, these pharmaceuticalcompositions comprise micronized eplerenone and one or more carriermaterials selected from the group consisting of lactose monohydrate,microcrystalline cellulose, croscarmellose sodium, hydroxypropylmethylcellulose, sodium lauryl sulfate, talc, and magnesium stearate. Itis particularly preferred that the various components of the compositionbe present in the amounts or the weight fractions set forth below.

Immediate Release Formulations

Oral delivery of the pharmaceutical compositions of the presentinvention can include immediate release compositions as well ascontrolled release compositions. Preferably, the pharmaceuticalcompositions are in the form of immediate release tablets or capsules.The immediate release compositions comprise micronized eplerenone in anamount sufficient to provide the desired daily dosage of eplerenone,that is, an amount of about 10 mg to about 1000 mg more preferably anamount of about 20 mg to 400 mg, still more preferably an amount ofabout 25 mg to 200 mg, still more preferably an amount of about 25 mg to150 mg, and still mor e preferably an amount of about 50 mg to 100 mg. Aonce-a-day immediate release tablet or capsule contains eplerenone in anamount for example, of about 50 mg to about 100 mg. Preferably, the samebatch can be used to prepare tablets (or capsules) of differentstrengths by compressing the formulation in different tablet sizes (oren capsulating the formulation in different capsule sizes or usingdifferent capsule fill weights). Although the amount of eplerenone insuch novel compositions preferably is within the ranges previouslydiscussed, the formulations also can be useful for the administration ofan amount of eplerenone falling outside of the disclosed dosage ranges.

Dissolution Profile

The compositions of the present invention preferably are immediaterelease compositions from which about 50% of the micronized eplerenoneis dissolved in vitro within about 15 minutes, more preferably at leastabout 80% of the eplerenone eplerenone is dissolved in vitro withinabout 30 minutes, and still more preferably at least about 90% of theeplerenone is dissolved in vitro within about 45 minutes using 1% sodiumdodecyl sulfate (SDS) in water as the dissolution medium at 37° C. inthe dissolution assay discussed hereinafter. More preferably, 0.1 N HClin water at 37° C. is the in vitro dissolution medium in that assay, andabout 50% of the micronized eplerenone is dissolved in about 20 minutes,about 80% is dissolved at about 45 minutes and greater than about 90% isdissolved in about 90 minutes. More preferably, about 50% of themicronized eplerenone is dissolved in about 15 minutes, about 80% isdissolved at about 30 minutes and about 90% or more is dissolved inabout 45 minutes.

Disintegration Profile

Carrier materials for immediate release compositions preferably areselected to provide a disintegration time less than about 30 minutes,preferably about 20 minutes or less, more preferably about 18 minutes orless, and still more preferably about 14 minutes or less.

Granulation Particle Size and Flow Properties

Although the pharmaceutical compositions of the present invention can beprepared, for example, by direct encapsulation or direct compression,they preferably are wet granulated prior to encapsulation orcompression. Wet granulation, among other matters, densifies thecompositions resulting in improved flow properties, improved compressioncharacteristics and easier metering or weight dispensing of the finalcompositions. The average particle size of the granulation preferablypermits for convenient handling and processing and, for tablets, permitsthe formation of a directly compressible mixture that formspharmaceutically acceptable tablets. The desired tap and bulk densitiesof the granulation are normally about 0.3 g/ml to about 1.0 g/ml,preferably about 0.4 g/ml to about 0.8 g/ml.

Hardness

For tablet formulations, the pharmaceutical composition in an amountsufficient to make a uniform batch of tablets is subjected to tabletingin a conventional production scale tableting machine at normalcompression pressure (for example, about 1 kN to about 50 kN). Anytablet hardness convenient with respect to handling, manufacture,storage and ingestion may be employed. Hardness in the range of about3.5 kP to about 22 kP is typically acceptable, with about 3.5 kP toabout 9 kP preferred for 25 mg tablets, about 5 kP to about 13 kPpreferred for 50 mg tablets, and about 8 kP to about 22 kP preferred for100 mg tablets. The mixture, however, is not be compressed to such adegree that there is subsequent difficulty in achieving hydration whenexposed to gastric fluid.

Friability

For tablet formulations, tablet friability preferably is less than about0.8%, more preferably less than 0.4%.

Preferred Compositions

Preferably, the pharmaceutical compositions of this embodiment comprise:

about 1 to about 90 weight percent of micronized eplerenone;

about 5 to about 90 weight percent of lactose;

about 5 to about 90 weight percent of microcrystalline cellulose; and

about 0.5 to about 10 weight percent of hydroxypropyl methylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 1 to about weight percent of croscarmellose sodium; about 0.1 toabout 7 weight percent of sodium lauryl sulfate; about 0.1 to about 10weight percent of talc; and/or about 0.1 to about 10 weight percent ofmagnesium stenarate.

More preferably, the pharmaceutical compositions of this embodimentcomprise:

about 19 to about 40 weight percent of micronized eplerenone;

about 32 to about 52 weight percent of lactose;

about 8 to about 28 weight percent of microcrystalline cellulose;

about 1 to about 10 weight percent of croscarmellose sodium; and

about 1 to about 8 weight percent of hydroxypropyl methylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.1 to about 7 weight percent of sodium lauryl sulfate; about 0.1to about 10 weight percent of talc; and about 0.1 to about 10 weightpercent of magnesium stearate. Preferably, the hydroxypropylmethylcellulose has a viscosity of from about 2 cps to about 8 cps, morepreferably about 2 cps to about 6 cps, as noted before. The compositionsare preferably in the form of unit dosage tablets.

Still more preferably, the pharmaceutical compositions of thisembodiment comprise:

about 24 to about 35 weight percent of micronized eplerenone;

about 37 to about 47 weight percent of lactose;

about 13 to about 23 weight percent of microcrystalline cellulose;

about 2 to about 6 weight percent of croscarmellose sodium; and

about 2 to about 4 weight percent of hydroxypropyl methylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.25 to about 4 weight percent of sodium lauryl sulfate; about 0.1to about 5 weight percent of talc; and about 0.25 to about 5 weightpercent of magnesium stearate. Preferably, the hydroxypropylmethylcellulose has a viscosity of from about 2 cps to about 6 cps, asbefore.

Still more preferably, the pharmaceutical compositions of thisembodiment comprise:

about 28 to about 31 weight percent of micronized eplerenone;

about 41 to about 43 weight percent of lactose monohydrate;

about 17 to about 19 weight percent of microcrystalline cellulose;

about 4.5 to about 5.5 weight percent of croscarmellose sodium; and

about 2.5 to about 3.5 weight percent of hydroxypropyl methylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.5 to about 1.5 weight percent of sodium lauryl sulfate; about0.5 to about 1.5 weight percent of talc; and about 0.25 to about 0.75weight percent of magnesium stearate. Preferably, the hydroxypropylmethylcellulose has a viscosity of from about 2 cps to about 4 cps, asbefore.

Still more preferably, the pharmaceutical compositions of thisembodiment are in the form of a coated or uncoated unit dosage tabletwherein the uncoated tablet or the coated tablet prior to coatingcomprise:

about 29.4 weight percent of micronized eplerenone;

about 42 weight percent of lactose;

about 18.1 weight percent of microcrystalline cellulose;

about 5 weight percent of croscarmellose sodium;

about 3 weight percent of hydroxypropyl methylcellulose;

about 1 weight percent of sodium lauryl sulfate;

about 1 weight percent of talc; and

about 0.5 weight percent of magnesium stearate.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 20 mg to about 110 mg of micronized eplerenone;

about 30 mg to about 150 mg of lactose;

about 10 mg to about 70 mg of microcrystalline cellulose; and

about 1 mg to about 15 mg of hydroxypropyl methylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 1 mg to about 25 mg of croscarmellose sodium; about 0.25 mg toabout 5 mg of sodium lauryl sulfate; about 0.5 mg to about 5 mg of talc;and about 0.5 mg to about 3 mg of magnesium stearate. Preferably, thehydroxypropyl methylcellulose has a viscosity of from about 2 cps toabout 8 cps, more preferably about 2 cps to about 6 cps, as discussedbefore.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 23 to about 27 mg of micronized eplerenone;

about 34 mg to about 38 mg of lactose;

about 14 mg to about 17 mg of microcrystalline cellulose;

about 3 mg to about 6 mg of croscarmellose sodium; and

about 1 mg to about 4 mg of hydroxypropyl methylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.25 mg to about 1.5 mg of sodium lauryl sulfate; about 0.25 mg toabout 1.5 mg of talc; and about 0.1 mg to about 1 mg of magnesiumstearate. Preferably, the hydroxypropyl methylcellulose has a viscosityof from about 2 cps to about 6 cps, as before. The compositions arepreferably in the form of unit dosage tablets.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 48 mg to about 52 mg of micronized eplerenone;

about 70 mg to about 73 mg of lactose;

about 29 mg to about 33 mg of microcrystalline cellulose;

about 6 mg to about 10 mg of croscarmellose sodium; and

about 4 mg to about 6 mg of hydroxypropyl methylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 1 to about 2.5 mg of sodium lauryl sulfate; about 1 to about 2.5mg of talc; and about 0.5 mg to about 1.5 mg of magnesium stearate.Preferably, the hydroxypropyl methylcellulose has a viscosity of fromabout 2 cps to about 6 cps, as before. The compositions are preferablyin the form of unit dosage tablets.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 98 mg to about 102 mg of micronized eplerenone;

about 141 mg to about 145 mg of lactose;

about 60 mg to about 64 mg of microcrystalline cellulose;

about 16 mg to about 18 mg of croscarmellose sodium; and

about 9 mg to about 11 mg of hydroxypropyl methylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 3 mg to about 4 mg of sodium lauryl sulfate; about 3 mg to about 4mg of talc; and about 1 mg to about 2 mg of magnesium stearate.Preferably, the hydroxypropyl methylcellulose has a viscosity of fromabout 2 cps to about 6 cps, as before. The compositions are preferablyin the form of unit dosage tablets.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise lactose, microcrystalline cellulose, croscarmellosesodium, hydroxypropyl methylcellulose, sodium lauryl sulfate, talc, andmagnesium stearate.

In still another embodiment, the pharmaceutical compositions release invitro at least 50% of the eplerenone contained in the composition withinabout 15 minutes in the SDS-containing medium. More preferably, about50% of the micronized eplerenone is dissolved in about 20 minutes, about80% is dissolved in about 45 minutes and greater than about 90% isdissolved in about 90 minutes using the 0.1 N HCl solution assay. Morepreferably still, about 50% of the micronized eplerenone is dissolved inabout 15 minutes, about 80% is dissolved at about 30 minutes and about90% or more is dissolved in about 45 minutes.

In still another embodiment, the pharmaceutical compositions comprisemicronized eplerenone and one or more carrier materials in an oral unitdosage form suitable for once-a-day or twice-a-day oral administrationand capable of releasing in vitro at least 50% of the eplerenonecontained in the composition within about 15 minutes in theSDS-containing medium. More preferably, about 50% of the micronizedeplerenone is dissolved in about 20 minutes using the 0.1 N HCl solutionassay. More preferably still, about 50% of the micronized eplerenone isdissolved in about 15 minutes, about 80% is dissolved at about 30minutes and about 90% or more is dissolved in about 45 minutes. Stillmore preferably, these pharmaceutical compositions comprise eplerenoneand one or more carrier materials selected from the group consisting oflactose monohydrate, microcrystalline cellulose, croscarmellose sodium,hydroxypropyl methylcellulose, sodium lauryl sulfate, talc, andmagnesium stearate. It is particularly preferred that the variouscomponents of the compositions be present in the amounts or the weightfractions set forth above.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 15 to about 35 weight percent of micronized eplerenone;

about 48 to about 68 weight percent of lactose;

about 2 to about 22 weight percent of microcrystalline cellulose; and

about 0.1 to about 10 weight percent of croscarmellose sodium.

These pharmaceutical compositions optionally can additionally compriseabout 0.1 to about 7 weight percent of sodium lauryl sulfate; about 0.1to about 10 weight percent of talc; about 0.1 to about 10 weight percentof magnesium stearate; and about 0.1 to about 10 weight percentcolloidal silicon dioxide. The compositions are preferably in the formof unit dosage capsules.

Still more preferably, the pharmaceutical compositions of thisembodiment comprise:

about 20 to about 30 weight percent of micronized eplerenone;

about 53 to about 63 weight percent of lactose;

about 6.5 to about 16.5 weight percent of microcrystalline cellulose;and

about 0.5 to about 6 weight percent of croscarmellose sodium.

These pharmaceutical compositions optionally can additionally compriseabout 0.25 to about 4 weight percent of sodium lauryl sulfate; about 0.5to about 5 weight percent of talc; and about 0.25 to about 5 weightpercent of magnesium stearate; and about 0.1 to about 5 weight percentcolloidal silicon dioxide.

Still more preferably, the pharmaceutical compositions of thisembodiment comprise:

about 23 to about 27 weight percent of micronized eplerenone;

about 56 to about 60 weight percent of lactose monohydrate;

about 9.5 to about 13.5 weight percent of microcrystalline cellulose;and

about 0.5 to about 3.5 weight percent of croscarmellose sodium.

These pharmaceutical compositions optionally can additionally compriseabout 0.25 to about 1.5 weight percent of sodium lauryl sulfate; about 1to about 4 weight percent of talc; and about 0.1 to about 1 weightpercent of magnesium stearate; and about 0.1 to about 1.5 weight percentcolloidal silicon dioxide.

Still more preferably, the pharmaceutical compositions of thisembodiment are in the form of a capsule comprising:

about 25.0 weight percent of micronized eplerenone;

about 57.9 weight percent of lactose;

about 11.3 weight percent of microcrystalline cellulose;

about 2 weight percent of croscarmellose sodium;

about 0.5 weight percent of sodium lauryl sulfate;

about 2.5 weight percent of talc;

about 0.3 weight percent of magnesium stearate; and

about 0.5 weight percent colloidal silicon dioxide.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 20 mg to about 110 mg of micronized eplerenone;

about 48 mg to about 242 mg of lactose; and

about 2 mg to about 56 mg of microcrystalline cellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.25 mg to about 18 mg of croscarmellose sodium; about 0.1 mg toabout 5 mg of sodium lauryl sulfate; about 0.5 mg to about 8 mg of talc;about 0.1 mg to about 5 mg of magnesium stearate; and about 0.1 mg toabout 5 mg colloidal silicon dioxide.

In another embodiment, the pharmaceuticals composition of thisembodiment comprise:

about 23 to about 27 mg of micronized eplerenone;

about 56 mg to about 60 mg of lactose;

about 9.5 mg to about 13.5 mg of microcrystalline cellulose; and

about 0.5 mg to about 3.5 mg of croscarmellose sodium.

These pharmaceutical compositions optionally can additionally compriseabout 0.1 mg to about 1.5 mg of sodium lauryl sulfate; about 0.25 mg toabout 4.5 mg of talc; about 0.1 mg to about 1.5 mg of magnesiumstearate; and about 0.1 to about 2.5 weight percent colloidal silicondioxide. The compositions are preferably in the form of unit dosagecapsules.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 48 mg to about 52 mg of micronized eplerenone;

about 114 mg to about 118 mg of lactose;

about 21 mg to about 25 mg of microcrystalline cellulose; and

about 2 mg to about 6 mg of croscarmellose sodium.

These pharmaceutical compositions optionally can additionally compriseabout 1 to about 2.5 mg of sodium lauryl sulfate; about 2 to about 8 mgof talc; about 0.25 mg to about 1.5 mg of magnesium stearate; and about0.1 to about 3 weight percent colloidal silicon dioxide. Thecompositions are preferably in the form of unit dosage capsules.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 98 mg to about 102 mg of micronized eplerenone;

about 229 mg to about 234 mg of lactose;

about 43 mg to about 48 mg of microcrystalline cellulose; and

about 6 mg to about 10 mg of croscarmellose sodium.

These pharmaceutical compositions optionally can additionally compriseabout 0.5 mg to about 4 mg of sodium lauryl sulfate; about 8 to about 12mg of talc; about 0.5 mg to about 3 mg of magnesium stearate; and about0.5 mg to about 4 mg colloidal silicon dioxide. The compositions arepreferably in the form of unit dosage capsules.

Controlled Release Oral Formulations

Oral delivery of the pharmaceutical compositions of the presentinvention can include controlled release formulations, includingcontrolled release formulations well known in the art, providingprolonged or sustained delivery of the drug to the gastrointestinaltract by any number of mechanisms. Such prolonged or sustained releasemechanisms can include, but are not limited to, pH sensitive releasefrom the dosage form based on the changing pH of the small intestine;slow erosion of a tablet or capsule; retention in the stomach based onthe physical properties of the formulation; bioadhesion of the dosageform to the mucosal lining of the intestinal tract; or enzymatic releaseof eplerenone from the dosage form. The intended effect is to extend thetime period over which eplerenone is delivered to the site of action bymanipulation of the dosage form. Thus, enteric-coated and enteric-coatedcontrolled release formulations are within the scope of the presentinvention.

The controlled release compositions comprise micronized eplerenone in adesired amount, preferably in a range as previously discussed above,that is, in an amount of about 10 mg to about 1000 mg, more preferablyabout 20 mg to 400 mg, still more preferably about 25 mg to 200 mg, andstill more preferably about 25 mg to 150 mg. Preferred controlledrelease compositions are in the form of tablets or capsules,particularly tablets or capsules comprising micronized eplerenone in anamount of 25 mg, 50 mg, 100 mg or 150 mg. The controlled releasecompositions may or may not be in a single dosage form. Such controlledrelease compositions, however, preferably are in a unit dose oral form.A once-a-day controlled release tablet or capsule typically compriseseplerenone in a range of about 25 mg to about 150 mg.

A controlled-release dosage form as defined in US Pharmacopeia XXIIincludes extended release dosage forms that permit at least a two-foldreduction in dosing frequency as compared to the drug presented as aconventional dosage form and delayed release dosage forms which releasethe drug at a time other than promptly after administration. Thecontrolled release composition can be, and preferably is, a sustainedrelease or delayed/modified release form.

One type of controlled release composition, for example, achievescontrolled release by use of a matrix tablet composition. Suitablematrix forming materials are waxes (e.g., carnauba, bees wax, paraffinwax, ceresine, shellac wax, fatty acids, and fatty alcohols); oils,hardened oils or fats (e.g., hardened rapeseed oil, castor oil, beeftallow, palm oil, and soya bean oil); polymers (e.g., hydroxypropylcellulose, polyvinylpyrrolidone, hydroxypropyl methyl cellulose,polyethylene glycol, methacrylates (PMMA), and carbomer); alginates;xanthum gums; and other carrier materials known to those of ordinaryskill in the art. Other suitable matrix tableting materials include, butare not limited to, microcrystalline cellulose, powdered cellulose,hydroxypropyl cellulose, and ethyl cellulose. Other types of controlledrelease compositions may achieve controlled release by use ofgranulates, coated powders, pellets, or the like, by use ofmulti-layering, and/or by used of suitable coatings. Still othercontrolled release compositions include an osmotic pump (such asdescribed in GB 2207052 published Jan. 25, 1989), or combinations of theabove.

Suitable coating materials for use in the preparation of controlledrelease compositions include, but are not limited to, anypharmaceutically acceptable polymer such as ethyl cellulose, celluloseacetate butyrate, cellulose acetates, polymethacrylates containingquaternary ammonium groups or other pharmaceutically acceptablepolymers, polyethylene glycol, hydroxypropyl cellulose, hydroxypropylmethylcellulose, polyvinylpyrrolidone, and polyvinyl alcohol; monomericmaterials such as sugars including lactose, sucrose, fructose andmannitol; salts including sodium chloride, potassium chloride andderivatives; organic acids including furmaric acid, succinic acid,lactic acid and tartaric acid and mixtures thereof; enteric polymersincluding polyvinyl acetate phthalate, cellulose acetate phthalate,cellulose acetate trimellitate, shellac, zein, and polymethacrylatescontaining carboxyl groups. These polymers can be applied as solutionsor latexes. Other barriers may be used such as waxes.

The coating composition can be plasticized according to the propertiesof the coating blend such as the glass transition temperature of themain component or mixture of components or the solvent used for applyingthe coating compositions. Suitable plasticizers can be added from about0% to about 50% by weight of the coating composition. Such plasticizersinclude, for example, the group consisting of diethyl phthalate, citrateesters, polyethylene glycol, glycerol, acetylated glycerides, and castoroil.

Tablets or capsules containing micronized eplerenone can be coateddirectly to produce a controlled release dose, or can comprise aplurality of coated cores containing eplerenone. As used herein, theterm “core” refers to an element of the composition containingeplerenone and various carrier. Each core can contain an amount ofmicronized eplerenone in the range of about 0.1% to 95%, preferablyabout 10% to 80%, by weight based on the total weight of the core. Thecore typically can be about 200 μm to 1700 μm in diameter. A pellet is acoated core with the coating being any suitable coating.

These controlled release compositions can be made by prilling, spraydrying, pan coating, melt granulation, granulation, wurster coating,tangential coating, top spraying, tableting, extruding, coacervation andthe like. The particle size of the controlled release components otherthan micronized eplerenone in the dosage form depends on the technologyused. The particle sizes can range from submicron to 500 μm for powdertechnologies (mixtures, spray drying, dispersions, and the like); 5 μmto 1700 μm for coating technologies (wurster, top spray, bottom spray,spray drying, extrusion, layering, and the like); and 1 mm to 20 mm fortableting technologies. The controlled release forms of micronizedeplerenone are then combined into a single dosage such that the amountof eplerenone in the composition of the invention provides the desireddosage. Standard coating procedures, such as those described, forexample, in Remington's Pharmaceutical Sciences, 18^(th) Edition (1990),can conveniently be used.

The compositions can include micronized eplerenone in an immediaterelease form in association with micronized eplerenone in a controlledrelease form. The immediate release form of such compositions caninclude an amount of micronized eplerenone that is about 0.5% to about90% of the total amount of eplerenone of the composition, with thecontrolled release form containing the remainder of the micronizedeplerenone. As a result, the final composition provides an amount ofmicronized eplerenone for immediate release following administration andan additional amount of micronized eplerenone for controlled release.

The following non-limiting example illustrates the uses of thecomponents listed above in producing a composition in accordance withthe invention.

Where the composition of the invention is in the form of a pelletproduct, the pellets can be presented in a sachet, capsule or tablet.The non-limiting example below describes pellets (particle sizes 200 μmto 1700 μm) in a capsule. All the quoted ranges are % w/w.

A plurality of elements containing micronized eplerenone, or cores, areprepared by extrusion/spheronization, or by layering eplerenone (or ablend of eplerenone with other carrier materials) onto inert carriers byvarious processes. The cores themselves can be immediate release orcontrolled release depending on the materials and method of manufacture.The cores can contain the micronized drug at the required potencyaccording to the particular eplerenone dose, required size, requiredpresentation, and subsequent processes (coating and the like). The corescan contain micronized eplerenone in the range of about 0.1% to about100%, depending on the required dose, potency, manufacturing method, andother properties.

An extruded core typically includes micronized eplerenone and, forexample, a diluent/disintegrant such microcrystalline cellulose (in therange about 0.5% to about 99.9%), a binding agent such as hydroxypropylcellulose (in the range about 0.5% to about 50%); a filler such aslactose (in the range of about 0.5% to about 90%); and other carriermaterials. An extruded core can, where desired, only contain drug andbinding agent.

An extruded core with controlled release properties typically containsmicronized eplerenone and a swelling/gelling polymer such ashydroxypropyl cellulose (in the range about 0.5% to about 50%), or ahydrophobic material such as cetyl alcohol (in the range of about 10% toabout 90%). A layered core can contain micronized eplerenone and aninert carrier such as a sugar sphere (in the range about 10% to about90%) with a binding agent (in the range about 0.1% to about 50%). Thecore can contain diluents, wetting agents and other additives. Thebinding agent can be chosen to achieve immediate release (such ashydroxypropyl cellulose, hydroxypropyl methylcellulose and the like),controlled release (such as ethyl cellulose, cellulose acetate butyrateand the like), or delayed/modified release (for example, enteric bindingmaterials such as hydroxypropyl methylcellulose phthalate, polyvinylacetate phthalate and the like).

A portion of the final dosage form can be immediate release cores madeby the above described processes. Alternatively, the immediate releasecores can be coated with a rapidly disintegrating or dissolving coat foraesthetic, handling, or stability purposes. Suitable materials includepolyvinylpyrrolidone, hydroxypropyl cellulose, hydroxypropylmethylcellulose, polyethylene glycol, and polymethacrylates containingfree amino groups. Such materials can include plasticizers, antitackagents and/or diluents. An addition of about 3% of the weight of thecore as coating material is generally regarded as providing a continuouscoat for this size range.

The controlled release portion of the dose can be provided by acontrolled release core as described above, a controlled release corethat is further modified by overcoating, or an immediate release corethat is modified by overcoating.

A typical coating composition for making the controlled releasecomponent can contain an insoluble matrix polymer in an amount of about15% to about 85% by weight of the coating composition, and a watersoluble material in an amount of about 15% to about 85% by weight of thecoating composition. Optionally, an enteric polymer in an amount ofabout 0.1% to about 100% by weight of the coating composition may beused or included. Suitable insoluble matrix polymers include ethylcellulose, cellulose acetate butyrate, cellulose acetates, andpolymethacrylates containing quaternary ammonium groups or otherpharmaceutically acceptable polymers. Suitable water soluble materialsinclude polymers such as polyethylene glycol, hydroxypropyl cellulose,hydroxypropyl methylcellulose, polyvinylpyrrolidone, polyvinyl alcohol;monomeric materials such as sugars (e.g., lactose, sucrose, fructose,mannitol and the like); salts (e.g., sodium chloride, potassium chlorideand the like).; organic acids (e.g., fumaric acid, succinic acid, lacticacid, tartaric acid and the like); and mixtures thereof. Suitableenteric polymers include hydroxypropyl methylcellulose acetate succinate(HPMCAS), hydroxypropyl methylcellulose phthalate (HPMCP), polyvinylacetate phthalate, cellulose acetate phthalate, cellulose acetatetrimellitate, shellac, zein, polymethacrylates containing carboxylgroups, and the like.

The coating composition can be plasticized according to the propertiesof the coating blend such as the glass transition temperature of themain component or mixture of components or the solvent used for applyingthe coating compositions. Suitable plasticizers can be added from about0.1% to about 50% by weight of the coating composition. Suchplasticizers can be selected from, for example, the group consisting ofdiethyl phthalate, citrate esters, polyethylene glycol, glycerol,acetylated glycerides, acetylated citrate esters, dibutyl sebacate,castor oil and the like.

The coating composition can include a filler. The filler can compriseabout 0.1% to about 100% by weight based on the total weight of thecoating composition. The filler can be an insoluble material such assilicon dioxide, titanium dioxide, talc, kaolin, alumina, starch,powdered cellulose, microcrystalline cellulose, polacrilin potassium,and the like.

The coating composition can be applied as a solution or latex in organicsolvents or aqueous solvents of mixtures thereof. Where solutions areapplied, the solvent is present in an amount of about 25% to about 99%,preferably about 85% to about 97%, by weight based on the total weightof dissolved solids. Suitable solvents are water, lower alcohol, lowerchlorinated hydrocarbons, ketones or mixtures thereof. Where latexes areapplied, the solvent is present in an amount of about 25% to about 97%,preferably about 60% to about 97%, by weight based on the quantity ofpolymeric material in the latex. The solvent can be predominantly water.

A suitable tablet formulation can include micronized eplerenone togetherwith a swelling/gelling polymer such as L-hydroxypropyl celluloseadmixed with a filler such as microcrystalline cellulose. The tabletcarrier materials can be processed (i.e., spray dried) together, priorto compression. Matrix tablets of this type often exhibit a rapidinitial release until the polymers swell and gel, which inducescontrolled release for the remainder of the drug.

The quantity of immediate release and duration of controlled release canbe varied by altering the quantities of the carrier materials used. Ifthe immediate release component is not large enough, a quantity ofmicronized eplerenone can be included in a rapidly dissolving outer coatof polymers such as polyethylene glycol or hydroxypropylmethylcellulose.

A typical matrix tablet can contain the swelling/gelling polymer in anamount of about 5% to about 70% by weight based on the total weight ofthe tablet, and a diluent in an amount of about 15% to about 90% byweight based on the total weight of the tablet. Additional diluents canbe included in amounts from approximately 0.1% to about 65% by weightbased on the total weight of the tablet. These can be soluble materialssuch as lactose, mannitol, sorbitol and the like, or insoluble materialssuch as tribasic calcium phosphate powdered cellulose or any of thevarious starches (corn, wheat, potato and the like).

Additionally, the tablets can contain a lubricant in an amount of about0.1% to about 8% by weight based on the total weight of the tablet.Lubricants can be selected from metal stearates, stearic acid,hydrogenated oils, such as soya bean oil or castor oil, sodium stearylfurnate, polytetrafluoroethylene, talc and the like.

The tablets can be coated for aesthetic, handling or stability purposes,or to increase the quantity of the immediate release portion ofeplerenone. In this latter case, micronized eplerenone is dissolved orsuspended in the coating solution and sprayed onto the tablets until thedesired quantity of eplerenone has been added. Suitable coatingmaterials include polyethylene glycol, hydroxypropyl methylcellulose,hydroxypropyl cellulose, polyvinyl alcohol, polyvinylpyrrolidone, sugar,waxes, or mixtures of these.

The coating material can be added to any desired thickness but weightgains in the range about 1% to about 20% are typical, preferably about2% to about 10%, and more preferably about 2% to about 5%. The coat canbe plasticized. A plasticizer can be present in an amount of about 0.1%to about 50% by weight based on the total weight of the tablet of thecoating material. Examples of plasticizers are diethyl phthalate,citrate esters, acetylated citrate esters, polyethylene glycol,glycerol, dibutyl sebacate, acetylated monoglycerides, castor oil andthe like).

The coating composition can include an antitack agent such as talc,kaolin, titanium dioxide, silicon dioxide, alumina, starch, polacrilinpotassium, microcrystalline cellulose or the like).

The coating materials can be applied to the eplerenone particles,processed eplerenone particles (i.e. cores, granules), finished tablets,or finished capsules.

The coating composition can also include a filler. The filler cancomprise about 0.1% to about 100% by weight based on the total weight ofthe coating composition and can be an insoluble material such as silicondioxide, titanium dioxide, talc, kaolin, alumina, starch, powderedcellulose, microcrystalline cellulose, polacrillin potassium. Thecoating composition can contain other ingredients such as dyes andwaxes.

The coat can be applied as a solution or suspension from aqueous ororganic solvents using solution concentrations and equipment familiar tothese skilled in the art. The coating composition can be applied as asolution or latex in organic solvents or aqueous solvents or mixturesthereof. Where solutions are applied the solvent is present in an amountof about 25% to about 99%, preferably about 85% to about 97%, by weightbased on the total weight of dissolved solids. Suitable solvents arewater, lower alcohols such as ethanol and iso-propanol, lowerchlorinated hydrocarbons such as chloroform and dichloromethane, ketonessuch as acetone and methyl ethyl ketone, or mixtures thereof. Wherelatexes are applied, the solvent is present in an amount of about 25% toabout 97%, preferably about 60% to about 97%, by weight based on thequantity of polymeric material in the latex. The solvent can bepredominantly water.

Alternatively, the controlled release component of a tablet can beprovided in the form of controlled release pellets and the immediaterelease component can be included in the body of the tablet. Such atablet disintegrates to release the immediate release drug and thecontrolled release pellets. Pellets can be present in an amount of about1% to about 60%, preferably about 5% to about 50%, and more preferablyabout 5% to about 40%, by weight of the tablet. Suitable matrixmaterials for tablets of this type are microcrystalline cellulose,starches and the like.

The immediate release form of the micronized eplerenone can be presentedin a fast dissolving dosage form. The immediate release form can be inthe form of a solid or molecular dispersion of the active within apolymer matrix. The polymer matrix can be selected from biologicallyacceptable polymers such as a cellulose ether, for example ethylcellulose, or cellulose ester, for example cellulose acetate butyrateand the like. The immediate release form can simply be particles ofeplerenone deposited on a core containing eplerenone.

The composition of the invention, where it is in a tablet or like form,can include the two forms of the micronized eplerenone as separatecomponents, for example, in a multi-layer tablet, wherein one or morelayers include the micronized eplerenone in a controlled release form.Alternatively, the composition of the invention can be in the form of atablet wherein the immediate release form is present in the shell andthe controlled release form constitutes the core. Alternatively, the twoforms of the micronized eplerenone can be dispersed throughout thetablet.

The composition of the invention can be produced by providing a corecontaining the micronized eplerenone controlled release component coatedwith an enteric or delayed release coating. The core can be in the formof beads compressed to a tablet. The coated core can then be compressedinto tablets along with a powder mixture containing additionaleplerenone, or filled in combination with uncoated eplerenone into acapsule shell. As a result, the final composition provides an amount ofeplerenone for immediate release following administration and anadditional amount of eplerenone for controlled release.

The controlled release form of the micronized eplerenone is such as toprovide sustained release of eplerenone. Preferably, the controlled orsustained release. form provides a therapeutic effect over a periodgreater than about 12 hours, with a sustained therapeutic effect periodof 12 to 24 hours being especially preferred.

The controlled release form can be in the form of coated beads orgranules of micronized eplerenone. The coated micronized eplerenone canbe combined with uncoated or lightly coated micronized eplerenone toprovide a controlled release composition of the present invention. Theterm “lightly coated” as used in the description means a rapidlydisintegrating coating for aesthetic, handling or stability purposes.These then can be filled into capsules or formed into tablets.Microencapsulation can also be used to produce the controlled releaseform of the micronized eplerenone.

The coating or matrix material can be any suitable material. The coatingor matrix material can be a polymer or a wax. The wax can be selectedfrom any suitable wax or wax-like material including natural oil and fatand hardened oils such as hardened rapeseed oil, hardened castor oil,hardened beef tallow, palm oils and the like; waxes such as carnaubawax, bees wax, paraffin wax, ceresine wax, shellac wax or a fatty acid.

Additional controlled release formulations can be prepared byappropriate modification of the formulations and methods disclosed in,for example, Jao et al., U.S. Pat. No. 5,190,765; Jao et al., U.S. Pat.No. 5,160,744; Wong et al., U.S. Pat. No. 5,082,668; Ayer et al., U.S.Pat. No. 4,847,093; EP 572942 A2 published Dec. 8, 1993; EP 284039 A2published Sep. 28, 1988; EP 238189 A1 published Sep. 23, 1987;WO94/27582 published Dec. 8, 1994; WO92/13547 published Aug. 20, 1992;and WO92/00729 published Jan. 23, 1992, whose disclosures areincorporated by reference.

In one embodiment of the invention, the pharmaceutical composition is acontrolled release oral dosage form, preferably a tablet or capsule,wherein the release of eplerenone is controlled by the utilization of ahydrophilic matrix that releases micronized eplerenone at a relativelyconstant rate over a period of several hours. This hydrophilic matrixcan be prepared, for example, by incorporating hydroxypropylmethylcellulose into the formulation in combination with the othercarrier materials. The amount of hydroxypropyl methylcellulose requireddepends upon the release rate desired. Illustrative compositions havingvarious in vitro dissolution rates are described in the examples below.

In a typical formulation, the hydroxypropyl methylcellulose is combinedwith micronized eplerenone and other carrier materials, and then highshear wet granulated, fluid bed dried, blended and compressed into atablet dosage form. Where hydroxypropyl methylcellulose is incorporatedinto the hydrophilic matrix to provide a controlled release dosage form,the hydroxypropyl methylcellulose used preferably is a high. molecularweight (or high viscosity) hydroxypropyl methylcellulose. The term “highmolecular weight (or high viscosity) hydroxypropyl methylcellulose”refers to those hydroxypropyl methylcelluloses having a 2% viscosity(that is, the viscosity of a 2% solution of hydroxypropylmethylcellulose in water at 20° C.) in the range of about 3,500 cps toabout 5,600 cps.

When the tablet is exposed to aqueous media, such as in thegastrointestinal tract, the tablet surface wets and the polymer beginsto partially hydrate forming an outer gel layer. This outer gel layerbecomes fully hydrated and begins to erode into the aqueous fluids.Water continues to permeate toward the core of the tablet permittinganother gel layer to form beneath the dissolving outer gel layer. Thesesuccessive concentric gel layers sustain uniform release of eplerenoneby diffusion from the gel layer and exposure through tablet erosion.

In general, increasing the concentration of the polymer in the matrixincreases the viscosity of the gel that forms on the tablet surface andcauses a decrease in diffusion and release of eplerenone. Typical twohour controlled release formulations (that is, formulations releasingabout 50% of the eplerenone in vitro during the two hour period afteringestion) comprise about 2% to about 20%, preferably about 3% to about17%, and more preferably about 4% to about 14%, high molecular weighthydroxypropyl methylcellulose by weight of the composition. Typical fourhour controlled release formulations (that is, formulations releasingabout 50% of the eplerenone in vitro during the four hour period afteringestion) comprise about 5% to about 45%, preferably about 7% to about35%, and more preferably about 8% to about 28%, high molecular weighthydroxypropyl methylcellulose by weight of the composition. Typical sixhour controlled release formulations (that is, formulations releasingabout 50% of the eplerenone in vitro during the six hour period afteringestion) comprise about 10% to about 45%, preferably about 12% toabout 35%, and more preferably about 14% to about 35%, high molecularweight hydroxypropyl methylcellulose by weight of the composition.

Changes in the tablet size and shape can affect the surface to volumeratio of the tablet and therefore the drug release kinetics from thehydrophilic matrix of the tablet. In general, it has been discoveredthat release of micronized eplerenone from the pharmaceuticalcompositions of the present invention is enhanced when tablet size isdecreased and/or tablet shape is changed from round to caplet. It alsohas been discovered that particle size of the polymer influences therate at which micronized eplerenone is released from the tablet. It isbelieved that as the polymer particle size decreases, hydration of thepolymer occurs more rapidly on the tablet surface resulting in slowerdrug release. Further, because tablet coating can alter eplerenonerelease kinetics, the effect of the coating on drug release should beconsidered for coated tablets. Testing of the controlled release tabletsof the present invention indicated that release of eplerenone from thetablet is substantially independent of tablet compression force forcompression forces between about 10 kN to about 40 kN.

In another embodiment, the pharmaceutical compositions comprise:

about 24 to about 35 weight percent of micronized eplerenone;

about 25 to about 45 weight percent of lactose monohydrate;

about 10 to about 25 weight percent of microcrystalline cellulose; and

about 5 to about 50 weight percent of hydroxypropyl methylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.1 to about 2 weight percent of talc; and/or about 0.25 to about0.75 weight percent of magnesium stearate.

More preferably, the pharmaceutical compositions of this embodimentcomprise about 25 to about 35 weight percent of micronized eplerenone;about 35 to about 45 weight percent of lactose; about 14.5 to about 24.5weight percent of microcrystalline cellulose; about 1 to about 11 weightpercent of high molecular weight hydroxypropyl methylcellulose; andabout 0.5 to about 8 weight percent of low molecular weighthydroxypropyl methylcellulose. These pharmaceutical compositionsoptionally can additionally comprise about 0.1 to about 6 weight percentof talc; and about 0.1 to about 5.5 weight percent of magnesiumstearate.

In one embodiment, the pharmaceutical compositions are controlledrelease compositions comprising:

about 20 to about 40 weight percent of micronized eplerenone;

about 30 to about 50 weight percent of lactose;

about 9.5 to about 29.5 weight percent of microcrystalline cellulose;

about 1 to about 16 weight percent of high molecular weighthydroxypropyl methylcellulose; and

about 0.5 to about 13 weight percent of low molecular weighthydroxypropyl methylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.1 to about 10 weight percent of talc; and about 0.1 to about 10weight percent of magnesium stearate. Preferably, the low molecularweight hydroxypropyl methylcellulose has a viscosity of from about 2 cpsto about 8 cps, more preferably about 2 cps to about 6 cps, as discussedbefore. Preferably, the high molecular weight hydroxypropylmethylcellulose has a 2% viscosity value of from about 3500 cps to about5,600 cps, as also discussed before. The compositions preferably are inthe form of unit is dosage tablets.

More preferably, the pharmaceutical compositions of this embodimentcomprise about 25 to about 35 weight percent of micronized eplerenone;about 35 to about 45 weight percent of lactose; about 14.5 to about 24.5weight percent of microcrystalline cellulose; about 1 to about 11 weightpercent of high molecular weight hydroxypropyl methylcellulose; andabout 0.5 to about 8 weight percent of low molecular weighthydroxypropyl methylcellulose. These pharmaceutical compositionsoptionally can additionally comprise about 0.1 to about 6 weight percentof talc; and about 0.1 to about 5.5 weight percent of magnesiumstearate.

Still more preferably, the pharmaceutical compositions of thisembodiment comprise about 28 to about 32 weight percent of micronizedeplerenone; about 38 to about 42 weight percent of lactose; about 17.5to about 21.5 weight percent of microcrystalline cellulose; about 4 toabout 8 weight percent of high molecular weight hydroxypropylmethylcellulose; and about 2 to about 5 weight percent of low molecularweight hydroxypropyl methylcellulose. These pharmaceutical compositionsoptionally can additionally comprise about 0.1 to about 3 weight percentof talc; and about 0.1 to about 2.5 weight percent of magnesiumstearate.

In another embodiment, the pharmaceutical compositions are controlledrelease compositions comprising:

about 20 to about 40 weight percent of micronized eplerenone;

about 15 to about 47 weight percent of lactose;

about 3.5 to about 28.5 weight percent of microcrystalline cellulose;

about 1 to about 45 weight percent of high molecular weighthydroxypropyl methylcellulose; and

about 0.5 to about 13 weight percent of low molecular weighthydroxypropyl methylcellulose.

These pharmaceutical compositions optionally may additionally compriseabout 0.1 to about 10 weight percent of talc; and about 0.1 to about 10weight percent of magnesium stearate. Preferably, the low molecularweight hydroxypropyl methylcellulose has a viscosity of from about 2 cpsto about 8 cps, more preferably about 2 cps to about 6 cps, whereas, thehigh molecular weight hydroxypropyl methylcellulose has a 2% viscosityvalue of from about 3500 cps to about 5,600 cps, as discussed before.The compositions preferably are in the form of unit dosage tablets.

More preferably, the pharmaceutical compositions of this embodimentcomprise about 25 to about 35 weight percent of micronized eplerenone;about 22 to about 42 weight percent of lactose; about 8.5 to about 23.5weight percent of microcrystalline cellulose; about 5 to about 35 weightpercent of high molecular weight hydroxypropyl methylcellulose; andabout 0.5 to about 8 weight percent of low molecular weighthydroxypropyl methylcellulose. These pharmaceutical compositionsoptionally can additionally comprise about 0.1 to about 6 weight percentof talc; and about 0.1 to about 5.5 weight percent of magnesiumstearate.

Still more preferably, the pharmaceutical compositions of thisembodiment comprise about 28 to about 32 weight percent of micronizedeplerenone; about 25 to about 39 weight percent of lactose; about 11.5to about 20.5 weight percent of microcrystalline cellulose; about 10 toabout 35 weight percent of high molecular weight hydroxypropylmethylcellulose; and about 2 to about 5 weight percent of low molecularweight hydroxypropyl methylcellulose. These pharmaceutical compositionsoptionally can additionally comprise about 0.1 to about 3 weight percentof talc; and about 0.1 to about 2.5 weight percent of magnesiumstearate.

In another embodiment, the pharmaceutical compositions are controlledrelease compositions comprising:

about 20 to about 40 weight percent of micronized eplerenone;

about 20.5 to about 40.5 weight percent of lactose;

about 5 to about 25 weight percent of microcrystalline cellulose;

about 10 to about 30 weight percent of high molecular weighthydroxypropyl methylcellulose; and

about 0.5 to about 13 weight percent of low molecular weighthydroxypropyl methylcellulose.

These pharmaceutical compositions optionally may additionally compriseabout 0.1 to about 10 weight percent of talc; and about 0.1 to about 10weight percent of magnesium stearate. Preferably, the low molecularweight hydroxypropyl methylcellulose has a viscosity of from about 2 cpsto about 8 cps, more preferably about 2 cps to about 6 cps, whereas thehigh molecular weight hydroxypropyl methylcellulose has a 2% viscosityvalue of from about 3500 cps to about 5,600 cps, as before. Thecompositions preferably are in the form of unit dosage tablets.

Still more preferably, the pharmaceutical compositions of thisembodiment comprise about 28 to about 32 weight percent of micronizedeplerenone; about 28.5 to about 32.5 weight percent of lactose; about 13to about 17 weight percent of microcrystalline cellulose; about 18 toabout 22 weight percent of high molecular weight hydroxypropylmethylcellulose; and about 2 to about 5 weight percent of low molecularweight hydroxypropyl methylcellulose. These pharmaceutical compositionsoptionally can additionally comprise about 0.1 to about 3 weight percentof talc; and about 0.1 to about 2.5 weight percent of magnesiumstearate.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 25 mg to about 150 mg of micronized eplerenone;

about 12.5 mg to about 190 mg of lactose;

about 2 mg to about 100 mg of microcrystalline cellulose;

about 10 mg to about 80 mg of high molecular weight hydroxypropylmethylcellulose; and

about 1 mg to about 25 mg of low molecular weight hydroxypropylmethylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.5 mg to about 15 mg of talc; and about 0.1 mg to about 10 mg ofmagnesium stearate. Preferably, the low molecular weight hydroxypropylmethylcellulose has a viscosity of from about 2 cps to about 8 cps, morepreferably about 2 cps to about 6 cps, whereas the high molecular weighthydroxypropyl methylcellulose has a 2% viscosity value of from about3500 cps to about 5,600 cps, as before.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 95 mg to about 105 mg of micronized eplerenone;

about 128 mg to about 139 mg of lactose;

about 60 mg to about 70 mg of microcrystalline cellulose;

about 10 mg to about 25 mg of high molecular weight hydroxypropylmethylcellulose; and

about 5 mg to about 15 mg of low molecular weight hydroxypropylmethylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.5 mg to about 8 mg of talc; and about 0.1 mg to about 7 mg ofmagnesium stearate. The compositions preferably are in the form of unitdosage tablets.

More preferably, the pharmaceutical compositions of this embodimentcomprise about 98 mg to about 102 mg of micronized eplerenone; about 131mg to about 136 mg of lactose; about 63 mg to about 67 mg ofmicrocrystalline cellulose; about 18 mg to about 22 mg of high molecularweight hydroxypropyl methylcellulose; and about 8 mg to 12 mg of lowmolecular weight hydroxypropyl methylcellulose. These pharmaceuticalcompositions optionally can additionally comprise about 2 mg to about 5mg of talc; and about 0.5 to about 3 weight percent of magnesiumstearate.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 45 mg to about 55 mg of micronized eplerenone;

about 35 mg to about 55 mg of lactose;

about 17.5 mg to about 27.5 mg of microcrystalline cellulose;

about 37 mg to about 47 mg of high molecular weight hydroxypropylmethylcellulose; and

about 1 mg to about 10 mg of low molecular weight hydroxypropylmethylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.5 mg to about 7 mg of talc; and about 0.1 mg to about 6 mg ofmagnesium stearate. The compositions preferably are in the form of unitdosage tablets.

More preferably, the pharmaceutical compositions of this embodimentcomprise about 48 mg to about 52 mg of micronized eplerenone; about 43mg to about 47 mg of lactose; about 20.5 mg to about 24.5 mg ofmicrocrystalline cellulose; about 40 mg to about 44 mg of high molecularweight hydroxypropyl methylcellulose; and about 3 mg to 7 mg of lowmolecular weight hydroxypropyl methylcellulose. These pharmaceuticalcompositions optionally can additionally comprise about 0.5 mg to about3 mg of talc; and about 0.1 to about 3 weight percent of magnesiumstearate.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 95 mg to about 105 mg of micronized eplerenone;

about 110 mg to about 195 mg of lactose;

about 50 mg to about 70 mg of microcrystalline cellulose;

about 30 mg to about 50 mg of high molecular weight hydroxypropylmethylcellulose; and

about 5 mg to about 15 mg of low molecular weight hydroxypropylmethylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.5 mg to about 8 mg of talc; and about 0.1 mg to about 7 mg ofmagnesium stearate. The compositions preferably are in the form of unitdosage tablets.

More preferably, the pharmaceutical compositions of -this embodimentcomprise about 98 mg to about 102 mg of micronized eplerenone; about 118mg to about 122 mg of lactose; about 58 mg to about 62 mg ofmicrocrystalline cellulose; about 38 mg to about 42 mg of high molecularweight hydroxypropyl methylcellulose; and about 8 mg to 12 mg of lowmolecular weight hydroxypropyl methylcellulose. These pharmaceuticalcompositions optionally can additionally comprise about 2 mg to about 5mg of talc; and about 0.5 to about 3 weight percent of magnesiumstearate.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 145 mg to about 155 mg of micronized eplerenone;

about 175 mg to about 195 mg of lactose;

about 87.5 mg to about 97.5 mg of microcrystalline cellulose;

about 45 mg to about 55 mg of high molecular weight hydroxypropylmethylcellulose; and

about 10 mg to about 20 mg of low molecular weight hydroxypropylmethylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.5 mg to about 10 mg of talc; and about 0.1 mg to about 8 mg ofmagnesium stearate. The compositions preferably are in the form of unitdosage tablets.

More preferably, the pharmaceutical compositions of this embodimentcomprise about 148 mg to about 152 mg of micronized eplerenone; about183 mg to about 187 mg of lactose; about 90.5 mg to about 94.5 mg ofmicrocrystalline cellulose; about 48 mg to about 52 mg of high molecularweight hydroxypropyl methylcellulose; and about 13 mg to 17 mg of lowmolecular weight hydroxypropyl methylcellulose. These pharmaceuticalcompositions optionally may additionally comprise about 3 mg to about 7mg of talc; and about 0.5 to about 4.5 weight percent of magnesiumstearate.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise:

about 95 mg to about 105 mg of micronized eplerenone;

about 96.5 mg to about 106.5 mg of lactose; about 45 mg to about 55 mgof microcrystalline cellulose;

about 61.5 mg to about 71.5 mg of high molecular weight hydroxypropylmethylcellulose; and

about 5 mg to about 15 mg of low molecular weight hydroxypropylmethylcellulose.

These pharmaceutical compositions optionally can additionally compriseabout 0.5 mg to about 8 mg of talc; and about 0.1 mg to about 7 mg ofmagnesium stearate. The compositions preferably are in the form of unitdosage tablets.

More preferably, the pharmaceutical compositions of this embodimentcomprise about 98 mg to about 102 mg of micronized eplerenone; about99.5 mg to about 103.5 mg of lactose; about 48 mg to about 52 mg ofmicrocrystalline cellulose; about 64.5 mg to about 68.5 mg of highmolecular weight hydroxypropyl methylcellulose; and about 8 mg to 12 mgof low molecular weight hydroxypropyl methylcellulose. Thesepharmaceutical compositions optionally can additionally comprise about 2mg to about 5 mg of talc; and about 0.5 to about 3 weight percent ofmagnesium stearate.

In another embodiment, the pharmaceutical compositions of thisembodiment comprise lactose, microcrystalline cellulose, hydroxypropylmethylcellulose, talc, and magnesium stearate.

In still another embodiment, the pharmaceutical compositions release invitro at least about 50% of the eplerenone contained in the compositionin at least about 1.5 hours, preferably in at least about 1.75 hours,and more preferably in about 2 hours.

In still another embodiment, the pharmaceutical compositions release invitro at least about 50% of the eplerenone contained in the compositionat least about 3.5 hours, preferably at least about 3.75 hours, and morepreferably about 4 hours.

In still another embodiment, the pharmaceutical compositions release invitro at least about 50% of the eplerenone contained in the compositionat least about 5.5 hours, preferably at least about 5.75 hours, and morepreferably about 6 hours.

In still another embodiment, the pharmaceutical compositions comprisemicronized eplerenone and one or more carrier materials, are in oralunit dosage form suitable for once-a-day or twice-a-day oraladministration, and release in vitro about 50% or more of the eplerenonecontained in the composition at least about 1.5 hours after ingestion ofthe composition. Still more preferably, these pharmaceuticalcompositions comprise eplerenone and one or more carrier materialsselected from the group consisting of lactose monohydrate,microcrystalline cellulose, hydroxypropyl methylcellulose, talc; andmagnesium stearate. It is particularly preferred that the variouscomponents of the controlled release matrix be present in the amounts orthe weight fractions set forth above.

Other Active Ingredients

The pharmaceutical compositions of the present invention are also usefulfor the administration of other 9,11-epoxy-20-spiroxane compounds,particularly those 9,11-epoxy-20-spiroxane compounds that arealdosterone antagonists. These pharmaceutical compositions can beprepared as set forth in this application by replacing eplerenone with acomparable weight fraction of the desired 9,11-epoxy-20-spiroxane. The9,11-epoxy-20-spiroxane compounds used in the preparation of suchpharmaceutical compositions can be prepared, for example, as set forthin Grob et al., U.S. Pat. No. 4,559,332. Such 9,11-epoxy-spiroxanesinclude, but are not limited to, the following compounds:

9α,11α-epoxy-7α-methoxycarbonyl-15β,16β-methylene-20-spirox-4-ene-3,21-dione;

9α,11α-epoxy-7α-isopropoxycarbonyl-20-spirox-4-ene-3,21-dione;

9α,11α-epoxy-7α-ethoxycarbonyl-20-spirox-4-ene-3,21-dione;

9α,11α-epoxy-6β,7β-methylene-20-spirox-4-ene-3,21-dione;

9α,11α-epoxy-6β,7β;15β,16β-bis-methylene-20-spirox-4-ene-3,21-dione;

9α,11α-epoxy-17β-hydroxy-6β,7β-methylene-3-oxo-17α-pregn-4-ene-21-carboxylicacid;

9α,11α-epoxy-17β-hydroxy-6β,7β-methylene-3-oxo-17α-pregn-4-ene-21-carboxylicacid methyl ester;

9α,11α-epoxy-17β-hydroxy-6β,7β;15β,16β-bis-methylene-3-oxo-17α-pregn-4-ene-21-carboxylicacid methyl ester;

9α,11α-epoxy-6β,7β-methylene-20-spiroxa-1,4-diene-3,21-dione;

9α,11α-epoxy-17β-hydroxy-7α-methoxycarbonyl-3-oxo-17α-pregn-4-ene-21-carboxylicacid;

9α,11α-epoxy-17β-hydroxy-3-oxo-17β-pregn-4-ene-7α,21-dicarboxylic aciddimethyl ester;

9α,11α-epoxy-17β-hydroxy-7α-isopropoxycarbonyl-3-oxo-17α-pregn-4-ene-21-carboxylicacid;

9α,11α-epoxy-17β-hydroxy-7α-ethoxycarbonyl-3-oxo-17α-pregn-4-ene-21-carboxylicacid;

9α,11α-epoxy-6α,7α-methylene-20-spirox-4-ene-3,21-dione;

9α,11α-epoxy-17β-hydroxy-3-oxo-17α-pregn-4-ene-7α,21-dicarboxylic aciddimethyl ester; and

9α,11α-epoxy-17β-hydroxy-15β,16β-methylene-3-oxo-17α-pregn-4-ene-7α,21-dicarboxylicacid dimethyl ester;

and the pharmaceutically acceptable salts thereof.

Methods of Treatment

The present invention also is directed to therapeutic methods oftreating a condition or disorder where treatment with an aldosteronereceptor blocker is indicated, the methods comprising the oraladministration of one or more of the pharmaceutical compositionspreviously described above to a patient in need thereof. The dosageregimen to prevent, give relief from, or ameliorate the condition ordisorder preferably corresponds to once-a-day or twice-a-day oraldosages, and more preferably to the 25 mg, 50 mg, 100 mg or 150 mgeplerenone oral unit dosages discussed above, but can be modified inaccordance with a variety of factors. These factors include the type,age, weight, sex, diet, and medical condition of the patient and theseverity of the disease. Thus, the dosage regimen actually employed canvary widely and therefore deviate from the preferred dosage regimen setforth above.

Initial treatment of a patient suffering from a condition or disorderwhere treatment with an aldosterone receptor blocker is indicated canbegin with the dosages indicated above. Treatment is generally continuedas necessary over a period of several weeks to several months or yearsuntil the condition or disorder has been controlled or eliminated.Patients undergoing treatment with the compositions disclosed herein canbe routinely monitored by any of the methods well known in the art todetermine the effectiveness of therapy. Continuous analysis of such datapermits modification of the treatment regimen during therapy so thatoptimal effective amounts of compounds of the present invention areadministered at any point in time, and so that the duration of treatmentcan be determined as well. In this way, the treatment regimen/dosingschedule can be rationally modified over the course of therapy so thatthe lowest amount of eplerenone exhibiting satisfactory effectiveness isadministered, and so that administration is continued only so long as isnecessary to successfully treat the condition or disorder.

The present invention further encompasses the use of micronizedeplerenone and a cellulosic carrier material in the manufacture of amedicament for the treatment or prophylaxis of aldosterone-mediatedconditions or disorders.

Method for Preparation of Formulation

The present invention also is directed to methods for the preparation ofpharmaceutical compositions comprising micronized eplerenone. Wheretablets or capsules are desired, methods such as wet granulation, drygranulation or direct compression or encapsulation methods can beemployed.

Wet granulation is a preferred method of preparing tablets from thepharmaceutical compositions of the present invention. In the wetgranulation process, the micronized eplerenone (and, if desired, any ofthe carrier materials) is initially milled or micronized to the desiredparticle size using a conventional mill or grinder. Such milling orgrinding techniques are well known in the art, as are methods forascertaining the resulting particle size and distribution.

As previously discussed, reduction of the D₉₀ eplerenone particle size(that is, the size of at least 90% of the eplerenone particles) in thecomposition is less than about 400 microns and more than 25 microns,preferably less than about 200 microns, more preferably less than about150 microns, still more preferably less than about 100 microns, and yetmore preferably less than 90 microns. A particularly preferred D₉₀particle size is about 30 to about 110 microns, and more particularlystill about 30 to about 50 microns. In other preferred embodiments, aparticularly preferred D₉₀ particle size is about 50 to about 150microns, and more preferably about 75 to about 125 microns. Micronizedeplerenone so sized can materially increase the bioavailability of theeplerenone.

Micronized eplerenone used illustratively herein typically had a D₉₀value of about 30 to about 110 microns. Exemplary particle distributionsare provided hereinafter for some of the specific examples.

Particle size distributions are determined using the followingprocedure.

Equipment and Reagents:

1. Sympatec™ HELOS System Laser Light Diffraction Particle SizeApparatus in a dry powder mode, model H0790 equipped with VIBRI™ feederand RODOS™ dispersing system.

2. 200-500 mm focal length lens.

3. Corn Starch, NF (reference standard illustratively; D₉₀=31.54,D₇₅=20.50, D₅₀=15.15 and D₁₀=7.44 microns).

4. Control Sample of micronized eplerenone (illustratively; D₉₀=22.01,D₇₅=13.35, D₅₀=7.57 and D₁₀=10.8 microns).

Distribution Points 5,10,50,75,90 and 95%

For Data Collection:

Analysis Procedure:

1. Verify or install the lens.

2. Using corn starch, NF (reference standard), perform an instrumentfunction verification, according to established equipment procedure.

3. Run a control sample of micronized eplerenone in singlet and ensurethat the particle size distribution is similar to previous runs.

4. Weigh approximately 500 mg of sample and determine the particle sizedistribution in triplicate.

5. Calculate the mean, standard deviation, and percent relative standarddeviation at each distribution point.

6. Report the mean particle size, standard deviation, and n at the 5,10, 50, 75, 90 and 95^(th) percentile to an integer.

The milled or micronized eplerenone is then blended, for example in ahigh shear mixer granulator, planetary mixer, a twin-shell blender orsigma mixer, with one or more of the carrier materials. Typically, thedrug is blended with the diluent(s), disintegrant(s), binding agent(s)and, optionally, wetting agent(s) in this step although it is possibleto add all or a portion of one or more of the carrier materials in alater step.

For example, where microcrystalline cellulose is employed as a diluent,it has been discovered that addition of a portion of themicrocrystalline cellulose during this blending step and the addition ofthe remaining portion after the drying step discussed below increasesthe hardness and/or decreases the friability of the tablets produced. Inthis situation, preferably about 40% to about 50% of themicrocrystalline cellulose is added intragranularly and about 50% toabout 60% of the microcrystalline cellulose is added extragranularly. Inaddition, this step of the process preferably comprises the blending ofeplerenone, lactose, microcrystalline cellulose, hydroxypropylmethylcellulose and, optionally, sodium lauryl sulfate. It has beendiscovered that blending times as short as three minutes can provide adry powder mixture having a sufficiently uniform distribution ofeplerenone.

Water is then added to the dry powder mixture and the mixture is blendedfor an additional period of time. The water can be added to the mixtureat once, gradually over a period of time, or in several portions over aperiod of time. The water preferably is added gradually over a period oftime, preferably at least about three to about five minutes. Anadditional period of mixing, generally at least about one to about threeminutes, after the water addition is complete, appears to ensure theuniform distribution of the water in the mixture and results in asuitable wet granulated mixture.

It is generally preferred that the wet granulated mixture comprise about25% to about 45% water by weight. Although a higher or lower watercontent can be acceptable for certain formulations, a lower watercontent generally reduces the effectiveness of the step in producinggranules having the desired compressibility and flowability properties,whereas a higher water content generally causes an increase in granulesize.

The wet granulated mixture is then dried, for example, in an oven or afluidized bed dryer, preferably a fluidized bed drier. If desired, thewet granulated mixture can be wet milled, extruded or spheronized priorto drying, although wet milling is preferred. For the drying process,conditions such as inlet air temperature and drying time are adjusted toachieve the desired moisture content for the dried mixture. Increasingmoisture content from about 2% to about 4% was observed to decreaseinitial tablet hardness.

To the extent necessary, the dry granules are then reduced in size inpreparation for compression. Conventional particle size reductionequipment such as oscillators or fitz mills can be employed.

The dry granules are then placed in a suitable blender such as atwin-shell blender and the lubricant, anti-adherent agent and anyadditional carrier materials are added. Although blending times dependin part upon the process equipment used, it has been discovered thatblending times of at least about 5 to 25 minutes are generallypreferred. In a preferred embodiment of this step of the invention, talcand the remaining portion of microcrystalline cellulose are added to thegranules and the mixture blended for an additional period of time,preferably a period of time sufficient to achieve a blend uniformityrelative standard deviation value of about 6% or less.

Magnesium stearate is then added to the mixture and the mixture isblended for an additional period of time. As noted above, where thediluents include microcrystalline cellulose, the addition of a portionof the microcrystalline cellulose during this step has been found tomaterially increase tablet hardness. In addition, increasing the amountof magnesium stearate was observed to decrease tablet hardness andincrease friability and disintegration time.

This blended mixture is then compressed into tablets (or encapsulated ifcapsules are to be prepared) to the desired weight and hardness usingappropriate size tooling. Conventional compression and encapsulationtechniques known to those of ordinary skill in the art can be employed.Where coated tablets are desired, conventional coating techniques knownto those of ordinary skill in the art can be employed.

The following examples illustrate aspects of the present invention butshould not be construed as limitations. The experimental procedures usedto generate the data shown are discussed in more detail below. Thesymbols and conventions used in these examples are consistent with thoseused in the contemporary pharmaceutical literature. Unless otherwisestated, (i) all percentages recited in these examples are weightpercents based on total composition weight, (ii) total compositionweight for capsules is the total capsule fill weight and does notinclude the weight of the actual capsule employed, and (iii) coatedtablets are coated with a conventional coating material such as Opadry®White YS-1-18027A (or another color) and the weight fraction of thecoating is about 3% of the total weight of the coated tablet.

EXAMPLE 1 25 Mg Dose Immediate Release Tablet

A 25 mg dose immediate release tablet (tablet diameter of {fraction(7/32)}″) was prepared having the following composition:

TABLE 1 WEIGHT % OF Amount INGREDIENT TABLET (mg) Eplerenone 29.41 25.00Lactose Monohydrate 42.00 35.70 (#310, NF) Microcrystalline 18.09 (7.50%15.38 Cellulose intragranular (NF, Avicel ® PH101) plus 10.59%extragranular) Croscarmellose 5.00 4.25 Sodium (NF, Ac-Di-Sol ™)Hydroxypropyl 3.00 2.55 Methylcellulose (#2910, USP, Pharmacoat ™ 603)Sodium Lauryl 1.00 0.85 Sulfate (NF) Talc (USP) 1.00 0.85 Magnesium 0.500.42 Stearate (NF) Total 100 85 Opadry ® White YS-1- 3.00 2.55 18027A(Alternatively: (4.50) (3.825) Opadry ® Yellow YS- 1-12524-A)

The lactose monohydrate used in each of the examples of the applicationis commercially available from Formost Farms, Baraboo, Wisconsin. TheAvicel® brand of microcrystalline cellulose and the Ac-Di-Sol™ brand ofcroscarmellose sodium were used in each of the examples of theapplication. Both compounds are commercially available from FMCCorporation, Chicago, Ill. The Pharmacoat™ 603 brand of hydroxypropylmethylcellulose was used in each of the examples of the application.This compound is commercially available from Shin-Etsu Chemical Co. Ltd.The sodium lauryl sulfate used in each of the examples of theapplication is commercially available from Henkel Corporation,Cincinnati, Ohio. The talc used in each of the examples of theapplication is commercially available from Cyprus Foote Mineral Co.,Kings Mountain, N.C., or Luzenac America, Inc., Englewood, Colo. Themagnesium stearate used in each of the examples of the application iscommercially available from Mallinckrodt Inc., St. Louis, Miss. TheOpadry® White YS-1-18027A (and other coatings) used to prepare thecoated tablets disclosed in the examples of this application is a readyto coat coating formulation commercially available from Colorcon, WestPoint, Pa.

EXAMPLE 2 50 Mg Dose Immediate Release Tablet

A 50 mg dose immediate release tablet (tablet diameter of {fraction(9/32)}″) was prepared having the following composition:

TABLE 2 WEIGHT % OF Amount INGREDIENT TABLET (mg) Eplerenone 29.41 50.00Lactose Monohydrate 42.00 71.40 (#310, NF) Microcrystalline 18.09 (7.50%30.75 Cellulose intragranular (NF, Avicel ® PH101) plus 10.59%extragranular) Croscarmellose 5.00 8.50 Sodium (NF, Ac-Di-Sol ™)Hydroxypropyl 3.00 5.10 Methylcellulose (#2910, USP, Pharmacoat ™ 603)Sodium Lauryl 1.00 1.70 Sulfate (NF) Talc (USP) 1.00 1.70 Magnesium 0.500.85 Stearate (NF) Total 100 170 Opadry ® White 3.00 5.10 YS-1-18027A(Alternatively: (3.00) (5.10) Opadry ® Pink YS-1-14762-A)

EXAMPLE 3 100 Mg Dose Immediate Release Tablet

A 100 mg dose immediate release tablet formulation (tablet diameter of{fraction (12/32)}″) was prepared having the following composition:

TABLE 3 WEIGHT % OF Amount INGREDIENT TABLET (mg) Eplerenone 29.41100.00 Lactose 42.00 142.80 Monohydrate (#310, NF) Microcrystalline18.09 (7.50% 61.50 Cellulose intragranular (NF, Avicel ® plus 10.59%PH101) extragranular) Croscarmellose 5.00 17.00 Sodium (NF, Ac-Di-Sol ™)Hydroxypropyl 3.00 10.20 Methylcellulose (#2910, USP, Pharmacoat ™ 603)Sodium Lauryl 1.00 3.40 Sulfate (NF) Talc (USP) 1.00 3.40 Magnesium 0.501.70 Stearate (NF) Total 100 340 Opadry ® White 3.00 10.20 YS-1-18027A(Alternatively: (3.00) (10.20) Opadry ® Red YS-1-15585-A)

EXAMPLE 4 10 mg Dose Immediate Release Capsule

A 10 mg dose immediate release capsule formulation was prepared havingthe following composition:

TABLE 4 REPRESENTATIVE AMOUNT BATCH AMOUNT INGREDIENT (mg) (kg)Eplerenone 10.0 1.00 Lactose, 306.8 30.68 Hydrous NF Microcrystalline60.0 6.00 Cellulose, NF Talc, USP 10.0 1.00 Croscarmellose 8.0 0.80Sodium, NF Sodium Lauryl 2.0 0.20 Sulfate, NF Colloidal Silicon 2.0 0.20Dioxide, NF Magnesium 1.2 0.12 Stearate, NF Total Capsule 400.0 40.00Fill Weight Hard Gelatin 1 Capsule 100,000 Capsule, Size #0, CapsulesWhite Opaque

EXAMPLE 5 25 mg Dose Immediate Release Capsule

A 25 mg dose immediate release capsule formulation was prepared havingthe following composition:

TABLE 5 REPRESENTATIVE AMOUNT BATCH AMOUNT INGREDIENT (mg) (kg)Eplerenone 25.0 2.50 Lactose, Hydrous NF 294.1 29.41 Microcrystalline57.7 5.77 Cellulose, NF Talc, USP 10.0 1.00 Croscarmellose 8.0 0.80Sodium, NF Sodium Lauryl 2.0 0.20 Sulfate, NF Colloidal Silicon 2.0 0.20Dioxide, NF Magnesium 1.2 0.12 Stearate, NF Total Capsule 400.0 40.00Fill Weight Hard Gelatin 1 Capsule 100,000 Capsule, Size #0, CapsulesWhite Opaque

EXAMPLE 6 50 mg Dose Immediate Release Capsule

A 50 mg dose immediate release capsule formulation was prepared havingthe following composition:

TABLE 6 REPRESENTATIVE AMOUNT BATCH AMOUNT INGREDIENT (mg) (kg)Eplerenone 50.0 5.00 Lactose, 273.2 27.32 Hydrous NF Microcrystalline53.6 5.36 Cellulose, NF Talc, USP 10.0 1.00 Croscarmellose 8.0 0.80Sodium, NF Sodium Lauryl 2.0 0.20 Sulfate, NF Colloidal Silicon 2.0 0.20Dioxide, NF Magnesium 1.2 0.12 Stearate, NF Total Capsule 400.0 40.00Fill Weight Hard Gelatin 1 Capsule 100,000 Capsules Capsule, Size #0,White Opaque

EXAMPLE 7 100 mg Dose Immediate Release Capsule

A 100 mg dose immediate release capsule formulation was prepared havingthe following composition:

TABLE 7 REPRESENTATIVE BATCH AMOUNT AMOUNT INGREDIENT (mg) (kg)Eplerenone 100.0 10.00 Lactose, 231.4 23.14 Hydrous NF Microcrystalline45.4 4.54 Cellulose, NF Talc, USP 10.0 1.00 Croscarmellose 8.0 0.80Sodium, NF Sodium Lauryl 2.0 0.20 Sulfate, NF Colloidal Silicon 2.0 0.20Dioxide, NF Magnesium 1.2 0.12 Stearate, NF Total Capsule 400.0 40.00Fill Weight Hard Gelatin 1 Capsule 100,000 Capsule, Size #0, CapsulesWhite Opaque

EXAMPLE 8 200 mg Dose Immediate Release Capsule

A 200 mg dose immediate release capsule formulation was prepared havingthe following composition:

TABLE 8 REPRESENTATIVE AMOUNT BATCH AMOUNT INGREDIENT (mg) (kg)Eplerenone 200.0 20.00 Lactose, 147.8 14.78 Hydrous NF Microcrystalline29.0 2.90 Cellulose, NF Talc, USP 10.0 1.00 Croscarmellose 8.0 0.80Sodium, NF Sodium Lauryl 2.0 0.20 Sulfate, NF Colloidal Silicon 2.0 0.20Dioxide, NF Magnesium 1.2 0.12 Stearate, NF Total Capsule 400.0 40.00Fill Weight Hard Gelatin 1 100,000 Capsules Capsule, Size #0, CapsuleWhite Opaque

EXAMPLE 9 Oral Solution

A series of oral solutions is prepared containing 2.5 mg/L of eplerenoneand having the following composition: up to 20% ethanol v/v; up to 10%propylene glycol v/v; about 10% to 70% glycerol v/v; and about 30% to70% water v/v.

Another series of oral solutions is prepared containing 2.5 mg/L ofeplerenone and further comprising ethanol, propylene glycol,polyethylene glycol 400, glycerin and 70% w/w sorbitol.

Another oral solution is prepared in the following manner. A 15%hydroxypropyl-β-cyclodextrin solution (20 mL) is added to a bottlecontaining eplerenone (100 mg). The bottle containing the mixture isplaced in a temperature controlled water bath/shaker at 65° C. andshaken for 20 minutes. The bottle is removed from the water bath andpermitted to cool at room temperature for about five minutes. Applejuice (60 mL, commercially available) is added to the mixture in thebottle and the contents of the bottle are gently swirled.

The oral solutions of this example are particularly useful in thetreatment of, for example, non-ambulatory patients, pediatric patientsand patients that have difficulty taking solid dosage forms such astablets and capsules.

EXAMPLE 10 Tablets

Tablets containing a 100 mg dose of eplerenone and having thecomposition set forth in Table 10A were prepared by wet granulation(total batch size of 70 g). These 100 mg dose tablets had an averagedisintegration time of about 16 minutes and an average tablet hardnessof about 16 kP to 17 kP.

TABLE 10A WEIGHT INGREDIENT FRACTION (%) Eplerenone 30.0 Lactose,Hydrous 25.0 Avicel ®, PH 101 37.5 Ac-Di-Sol ™ 2.0 Pharmacoat ™ 603 3.0Sodium Lauryl 1.0 Sulfate, NF Talc 1.0 Magnesium 0.5 Stearate Total 100

The composition set forth in Table 10A was then modified by adjustingthe Ac-Di-Sol™ weight fraction of the composition to values from 2% to5%, while maintaining the weight fraction ratio of lactose/Avicel® at25/37.5. Tablets containing a 100 mg dose of eplerenone and having thesemodified compositions were prepared by wet granulation (total batch sizeof 70 g). The mean disintegration results for these 100 mg dose tabletsare reported in Table 10B below. An increase of the Ac-Di-Sol™ weightfraction to 5% resulted in a reduction in disintegration time to lessthan 10 minutes where no other change was made to the composition.

TABLE 10B AC-DI-SOL ™ DISINTEGRATION WEIGHT FRACTION (%) TIME (MINUTES)2 14.11 ± 0.74 3 13.90 ± 0.34 4 13.84 ± 0.62 5  6.88 ± 0.48

The composition was then further modified as set forth in Table 10C toevaluate the effect on disintegration time of adding the disintegrantextragranularly (that is, the ingredient is added after the wetgranulated mixture had been dried) as well as intragranularly (that is,the ingredient is present in the mixture during the wet granulationstep). The weight fraction ratio of lactose/Avicel® for thesecompositions also was adjusted about 43/17.5 to about 45/17.5 toincrease the compressibility of the compositions. Tablets containing a100 mg dose of eplerenone and having these modified compositions wereprepared by wet granulation (total batch size of 70 g). The meandisintegration results for these 100 mg dose tablets are reported inTable 10C below. The addition of 5% Ac-Di-Sol™ or the addition of 1.5%Ac-Di-Sol™ intragranular/1.5% Ac-Di-Sol™ extragranular/10% Avicel®improved disintegration time up to about seven to nine minutes. TheExplotab™ brand of sodium starch glycolate used in the compositions iscommercially available from Mendel.

TABLE 10C DISINTEGRANT WEIGHT DISINTEGRATION TIME FRACTION (%) (MINUTES)2% Ac-Di-Sol ™ 12.6 ± 0.49 intra* 2% Ac-Di-Sol ™ intra/ 9.98 ± 1.15 1%Ac-Di-Sol ™ extra* 1.5% Ac-Di-Sol ™ intra/ 11.98 ± 0.54  1.5%Ac-Di-Sol ™ extra 2% Ac-Di-Sol ™ intra/ 9.96 ± 0.31 2% Ac-Di-Sol ™ extra4 Ac-Di-Sol ™ intra/ 8.36 ± 0.64 1% Ac-Di-Sol ™ extra 4% Ac-Di-Sol ™intra/ 8.48 ± 0.53 1% Ac-Di-Sol ™ extra in 1% sodium lauryl sulfatesolution 2% Explotab ™ intra 17.32 ± 0.71  1.5% Ac-Di-Sol ™ intra/ 12.38± 0.41  1.5% Explotab ™ extra 1.5% Ac-Di-Sol ™ intra/ 7.90 ± 0.53 1.5%Ac-Di-Sol ™ extra/ 10% Avicel ® extra *intra = intragranularly; extra =extragranularly.

The batch sizes for the 2% Ac-Di-Sol™ intragranular/1% Ac-Di-Sol™extragranular composition and the 5% Ac-Di-Sol™ intragranularcomposition discussed above were scaled up from 70 g to 2 kg. Tabletscontaining a 100 mg dose of eplerenone and having these compositionswere prepared by wet granulation. The results for these 100 mg dosetablets are reported in Table 10D below. The term “Granulation Time” asused in this example and throughout the other examples of thisapplication means the total time for water addition and post additionmixing.

TABLE 10D 70 g BATCH 2 kg BATCH (2% Ac-Di- (2% Ac-Di- Sol ™ intra*/Sol ™ intra*/ 2 kg BATCH PARAMETER 1% Ac-Di- 1% Ac-Di- (5% Ac-Di-MEASURED Sol ™ extra*) Sol ™ extra*) Sol ™ intra*) % Water Added 3527.48 40.82 Granulation 5.16 5.16 5.00 Time (minutes) Drying Time 32 2330 (minutes) Moisture 2.0 2.15 2.2 Content (%) Granule 0.55 0.632 0.62Density (g/cc) Tablet 16.57 9.41 10.27 Hardness (kp) Tablet 4.38 4.394.33 Thickness (mm) % Friability 0.357 0.264 — Disintegration — 12.869.15 Time (minutes) *See Table 10C.

A decrease in tablet hardness was observed for the tablets prepared fromthe 2 kg batches relative to the tablets prepared from the 70 kg batch.In view of this decrease in tablet hardness, the 5% Ac-Di-Sol™intragranular composition was modified by removing 10% intragranularAvicel® and replacing it with 10% extragranular Avicel®. Tabletscontaining a 100 mg dose of eplerenone and having the 5% Ac-Di-Sol™intragranular composition or the 5% Ac-Di-Sol™ intragranular/7.5%intragranular Avicel®/10% extragranular Avicel composition were preparedby wet granulation (total batch sizes of 2 kg). The experimental resultsfor these 100 mg dose tablets are reported in Table 10E below. Removing10% intragranular microcrystalline cellulose and replacing it with 10%extragranular microcrystalline cellulose resulted in (i) decreaseddensity, (ii) increased tablet hardness, (iii) decreased disintegrationtime, and (iv) decreased water requirements for the wet granulationstep.

TABLE 10E 2 kg BATCH 2 kg BATCH (5% Ac-Di-Sol ™ PARAMETER (5%Ac-Di-Sol ™ intra/10% Avicel ® MEASURED intra*) extra*) % Water Added40.82 36.59 Granulation 5 4.5 Time (minutes) Bulk Density 0.62 0.535(g/cc) Tablet 11 (low compression 14.5 (low compression Hardness (kp)force), 11 high force), 18 high compression force) compression force)Disintegration 9.15 6.31 Time (minutes) *See Table 10C.

The 5% Ac-Di-Sol™ intragranular/7.5% intragranular Avicel®/10%extragranular Avicel® composition was prepared as set forth in Table10F. Tablets containing a 100 mg dose of eplerenone and having thiscomposition were prepared by wet granulation (total batch sizes of 2 kgand 10 kg).

TABLE 10F WEIGHT INGREDIENT FRACTION (%) Eplerenone 30 Lactose, Hydrous42 Avicel ®, PH 101 7.5 intra/10 extra Ac-Di-Sol ™ 5 Pharmacoat ™ 603 3Sodium Lauryl 1 Sulfate, NF Talc 1 Magnesium 0.5 Stearate Total 100 *SeeTable 10C.

The experimental results for these 100 mg dose tablets are reported inTable 10G below. Scale-up of this formulation was achieved without adrop in tablet hardness, while maintaining disintegration time at aboutseven minutes.

TABLE 10G PARAMETER MEASURED 2 kg BATCH 10 kg BATCH % Water Added 36.5930.52 Granulation 4.5 5.25 Time (minutes) Drying Time 27 11 (minutes)Granule Density 0.535 0.549 (g/cc) Tablet Hardness 11.71 12.84 (kp)Tablet Thickness 4.47 4.37 (mm) % Friability 0.223 0.38 Disintegration6.31 7.00 Time (minutes)

EXAMPLE 11 Two Hour Controlled Release Tablet

A controlled release tablet (tablet weight 333.3 mg; round, standard,concave, {fraction (12/32)}″) containing a 100 mg dose of eplerenone wasprepared. The tablet had the following composition:

TABLE 11 WEIGHT % OF INGREDIENT TABLET Eplerenone 30.0 Lactose 40.0Monohydrate Microcrystalline 19.5 Cellulose (Avicel ® PH 101)Hydroxypropyl 6.0 methylcellulose (Methocel ® K4M Premium) Hydroxypropyl3.0 methylcellulose (Pharmacoat ™ 603) Talc 1.0 Magnesium 0.5 StearateTotal 100

EXAMPLE 12 Four Hour Controlled Release Tablet

Controlled release tablets (round standard concave) containing 50 mg({fraction (9/32)}″), 100 mg ({fraction (12/32)}″) and 150 mg ({fraction(14/32)}″) doses of eplerenone were prepared. The tablets had thefollowing compositions:

TABLE 12 WEIGHT % OF TABLET INGREDIENT 50 mg 100 mg 150 mg Eplerenone30.0 30.0 30.0 Lactose 27.0 35.7 37.0 Monohydrate Microcrystalline 13.517.8 18.5 Cellulose (Avicel ® PH 101) Hydroxypropyl 25.0 12.0 10.0methylcellulose (Methocel ® K4M Premium) Hydroxypropyl 3.0 3.0 3.0methylcellulose (Pharmacoat ™ 603) Talc 1.0 1.0 1.0 Magnesium 0.5 0.50.5 Stearate Total 100 100 100

EXAMPLE 13 Six Hour Controlled Release Tablet

A controlled release tablet (tablet weight 333.3 mg; round, standard,concave, {fraction (12/32)}″) containing a 100 mg dose of eplerenone wasprepared. The tablet had the following composition:

TABLE 13 INGREDIENT WEIGHT % OF TABLET Eplerenone 30.0 LactoseMonohydrate 30.5 Microcrystalline 15.0 Cellulose (Avicel ® PH 101)Hydroxypropyl 20.0 methylcellulose (Methocel ® K4M Premium)Hydroxypropyl 3.0 methylcellulose (Pharmacoat ™ 603) Talc 1.0 Magnesium0.5 Stearate Total 100

EXAMPLE 14 Tablets

Tablets containing a 100 mg dose or a 200 mg dose of eplerenone andhaving one of the compositions set forth in Table 14A below wereprepared by wet granulation (total batch size of 1 kg). In addition,tablets containing a 100 mg dose or a 200 mg dose of eplerenone andhaving formulation C set forth in Table 14A were prepared by wetgranulation (total batch size of 2 kg).

TABLE 14A WEIGHT FRACTION OF TABLET (%) INGREDIENT A B C D E FEplerenone 30 30 30 30 30 30 Lactose 10 40 10 40 25 25 MonohydrateMicrocrystal- 50.5 20.5 35.5 5.5 28 28 line Cellulose (Avicel ® PH 101)Hydroxypropyl 5 5 20 20 12.5 12.5 methylcellulose (Methocel ® K4MPremium) Hydroxypropyl 3 3 3 3 3 3 methylcellulose (Pharmacoat ™ 603)Talc 1 1 1 1 1 1 Magnesium 0.5 0.5 0.5 0.5 0.5 0.5 Stearate Total 100100 100 100 100 100

Tablets prepared from the 2 kg batch (Formulation C) exhibited a loss oftablet hardness and compressibility relative to tablets prepared fromthe 1 kg batch (Formulation C). Average tablet hardness for the 100 mgdose tablets prepared from the 2 kg batch was about 7 kP. Average tablethardness for the 200 mg dose tablets prepared from the 1 kg batch wasabout 9 kP. In comparative tests, it was noted that placebo granulationswith a high microcrystalline cellulose weight fraction (for example,about 65.5%) did not compress into tablets. With respect to the 2 kgbatch, it also was observed that the granulation time of about 10 to 12minutes resulted in an increased loss of water due to evaporation duringgranulation relative to the 1 kg batch.

Tablets were then prepared containing a 100 mg dose of eplerenone andhaving the composition of Formulation C above or the composition ofFormulation C above wherein the lactose and Avicel® weight fractionswere reversed. The tablets were prepared by wet granulation (total batchsize of 70 g) using different granulation times. Tablet compression wascarried out on an F3 single punch press. As shown in Table 14B below,the combination of longer granulation times and higher microcrystallinecellulose content resulted in a loss of hardness. Sensitivity togranulation conditions decreased when the lactose/microcrystallinecellulose ratio was adjusted from 10/35.5 to 30.5/15.

TABLE 14B LACTOSE/ MOISTURE HARD- GRANULATION AVICEL ® CONTENT NESSFRIABILITY TIME* RATIO (%) (kP) (%) (minutes) 10/35.5 1.37 17.84 0.17835 (single-step water addition) 10/35.5 2.65 10.65 0.846 6.5 (multi-stepwater addition) 10/35.5 3.2 18.75 0.230 4.6 (single-step water addition)30.5/15 1 16.18 0.1047 4.1 (single-step water addition) 30.5/15 2.0115.90 0.0824 3.85 (single- step water addition) 30.5/15 3.95 15.770.2947 4.46 (single- step water addition) 30.5/15 1.12 14.86 0.365 4.13(single- step water addition) 30.5/15 2.57 14.41 0.263 6.91 (single-step water addition) 30.5/15 1.99 14.28 0.243 6.91 (multi-step wateraddition) *Granulation Time = water addition + post-mixing times.

Controlled release (“CR”) tablets containing a 100 mg dose of eplerenoneand having one of the compositions set forth in Table 14C below wereprepared by wet granulation (total batch size of 70 g). The average invitro dissolution times in 1% SDS in water for each composition werethen measured. The 2 hour 100 mg dose CR tablet was 37% dissolved at twohours. The 4 hour 100 mg dose CR tablet was 42% dissolved at four hours.The 6 hour 100 mg dose CR tablet was 54% dissolved at six hours.

TABLE 14C WEIGHT % OF TABLET INGREDIENT 2 Hour CR 4 Hour CR 6 Hour CREplerenone 30 30 30 Lactose 40 36 30.5 Monohydrate Microcrystalline 17.515.5 15 Cellulose (Avicel ® PH 101) Hydroxypropyl 8 14 20methylcellulose (Methocel ® K4M Premium) Hydroxypropyl 3 3 3methylcellulose (Pharmacoat ™ 603) Talc 1 1 1 Magnesium 0.5 0.5 0.5Stearate Total 100 100 100

Two hour CR, 4 hour CR, and 6 hour CR tablets containing a 100 mg doseof eplerenone were prepared by wet granulation in a scaled-up process(total batch sizes of 2 kg and 10 kg). The tablets had the samecompositions as set forth in Table 14C above except that the 2 hour CRand 4 hour CR tablet compositions had high molecular weighthydroxypropyl methylcellulose (Methocel® K4M Premium) weight fractionsof 6% and 12%, respectively, and microcrystalline cellulose weightfractions of 19.5% and 17.5%, respectively. Tables 14D, 14E and 14Freport the experimental results. Dissolution profiles can be furtheradjusted by appropriate selection of high molecular weight hydroxypropylmethylcellulose concentrations. In addition, dissolution time decreasesas hydroxypropyl methylcellulose particle size increases. This is likelydue to poor hydration of the hydroxypropyl methylcellulose matrix asparticle size increases. Smaller particle size, on the other hand,appears to cause rapid hydration of the matrix and therefore slower drugrelease rate.

TABLE 14D PARAMETER 2 Hour CR Tablet (100 mg Dose) MEASURED 70 g BATCH¹2 kg BATCH 10 kg BATCH % Water 38.57 30.71 29.71 Added Granulation 4.004.07 4.00 Time (minutes) Drying Time 60 30 11 (minutes) Moisture 2.01.28 1.62 Content (%) Granule 0.55 0.58 0.63 Density (g/cc) Tablet 14.0513.79 11.37 Hardness (kp) Tablet 4.58 4.40 4.4 Thickness (mm) %Friability 0.351 0.263 0.39 ¹Tablets prepared from the 70 g batch hadthe composition set forth in Table 14C.

TABLE 14E PARAMETER 4 Hour CR Tablet (100 mg Dose) MEASURED 70 g BATCH¹2 kg BATCH 10 kg BATCH % Water Added 41.42 29.67 31.26 Granulation 4.004.25 6.25 time (minutes) Drying Time 45 27 11 (minutes) Moisture 1.22.21 1.18 Content (%) Granule 0.536 0.513 0.60 Density (g/cc) Tablet14.8 11.5 12.4 Hardness (kp) Tablet 4.59 4.43 4.58 Thickness (mm) %Friability 0.219 0.323 0.213 ¹Tablets prepared from the 70 g batch hadthe composition set forth in Table 14C.

TABLE 14F PARAMETER 6 Hour CR Tablet (100 mg Dose) MEASURED 70 g BATCH 2kg BATCH 10 kg BATCH % Water Added 45.71 37.73 35.35 Granulation Time4.13 4.00 5.5 (minutes) Drying Time 45 35 12 (minutes) Moisture 1.12 1.40.68 Content (%) Granule 0.523 0.536 0.561 Density (g/cc) Tablet 14.913.7 12.4 Hardness (kp) Tablet 4.64 4.56 4.58 Thickness (mm) %Friability 0.365 0.141 0.12

Compositions containing varying amounts of hydroxypropyl methylcellulose(HPMC) were prepared, compressed into different tablet sizes, andevaluated for dissolution time. The hydroxypropyl methylcellulose weightfraction of each composition is set forth in Tables 14G and 14H below.The eplerenone, Pharmacoat™ 603, talc and magnesium stearate weightfractions were fixed at 30%, 3%, 1% and 0.5%, respectively. The ratio oflactose/microcrystalline cellulose was fixed at 2:1 and the amount oflactose and microcrystalline cellulose adjusted accordingly toaccommodate the change in hydroxypropyl methylcellulose (HPMC)concentration. Tables 14G and 14H below report mean dissolution resultsin 1% SDS for the compositions. Table 14G reports the approximate timesat which the tablets had achieved an in vitro dissolution of 50%,whereas Table 14H reports the in vitro dissolution in 1% SDS achieved at24 hours. In general, dissolution rate increased as tablet sizedecreased and/or when tablet shape was changed from standard round shapeto a caplet shape.

TABLE 14G APPROXIMATE TIME OF 50% IN VITRO DOSE DISSOLUTION (HOURS)(PUNCH 6% 15% 25% 35% 45% SIZE) HPMC HPMC HPMC HPMC HPMC 25 mg — — 3.124.35 5.78 (7/32″) 62 mg — 4.00 — 7.54 (10/32″) 100 mg 2.41 — 5.88 — 4.24(12/32″) 125 mg — 5.5 — 21.33 — (13/32″) 150 mg 4.11 3.00 16.62 — —(14/32″)

TABLE 14H DOSE DISSOLUTION AT 24 HOURS (%) (PUNCH 6% 15% 25% 35% 45%SIZE) HPMC HPMC HPMC HPMC HPMC 25 mg — — 107 102 83 (7/32″) 62 mg — 98 —86 69 (10/32″) 100 mg 104 — 68 — 80 (12/32″) 125 mg — 83 — 52 — (13/32″)150 mg 101 131 56 — — (14/32″)

Table 14I further summarizes the results of Table 14G above with respectto 4 hour CR compositions. Based on the experimental data, hydroxypropylmethylcellulose (HPMC) concentrations of 35%, 25%, 12%, and 10% can beused with eplerenone dosages of 25 mg, 50 mg, 100 mg and 150 mg toachieve 50% in vitro dissolution in 1% SDS times (DT₅₀) of about 4hours.

TABLE 14I RELEASE HPMC PUNCH MATCHED WEIGHT SIZE TABLET TO EPLERENONEFRACTION (ROUND, WEIGHT DT₅₀ = 4 DOSE (mg) (%) SC) (mg) HOURS 25 30 7/32″ 83.3 no 25 35  7/32″ 83.3 yes 50 20  9/32″ 166.6 no 50 25  9/32″166.6 yes 100 12 12/32″ 333.3 yes 150 6 14/32″ 500 no 150 10 14/32″ 500yes

EXAMPLE 15 Disintegration Tests

Six identical tablets were separately placed into one of six tubeshaving a wire mesh screen bottom in a disintegration basket. A waterbath was preheated to 37° C.±2° C. and maintained at that temperaturefor the duration of the disintegration test. A 1000 mL beaker was placedin the water bath. The beaker was filled with a sufficient amount ofwater to ensure that the wire mesh screen of the tubes remained at least2.5 cm below the water surface during the test. The disintegrationbasket was inserted in the water at time=0 minutes and repeatedly raisedand lowered until the test was complete, while maintaining the wire meshscreen of the tubes at least 2.5 cm below the water surface.Disintegration time for each tablet was the time at which the very lastportion of the tablet passed through the screen at the bottom of thetube. The mean results for each type of tablet tested are reported inTable 15.

TABLE 15 TABLET DISINTEGRATION TIME Example 1: 25 mg Dose 8 minutes,Tablet (Coated) 6 seconds Example 1: 25 mg Dose 6 minutes, Tablet(Uncoated) 16 seconds Example 2: 50 mg Dose 9 minutes, Tablet (Coated)17 seconds Example 2: 50 mg Dose 7 minutes, Tablet (Uncoated) 39 secondsExample 3: 100 mg Dose 10 minutes, Tablet (Coated) 30 seconds Example 3:100 mg Dose 8 minutes, Tablet (Uncoated) 24 seconds

EXAMPLE 16 Immediate Release Dissolution Tests

The apparatus of U.S.P. II (with paddles) was used to determine thedissolution rate in 1% SDS of the tablets of Examples 1, 2 and 3 forboth coated and uncoated immediate release tablets. A 1000 mL 1% sodiumlauryl sulfate (SDS)/99% water solution was used as the dissolutionfluid. The solution was maintained at a temperature of 37° C.±0.5° C.and stirred at 50 rpm during the test. Twelve identical tablets weretested. The 12 tablets were each separately placed in one of 12 standarddissolution vessels at time=0 minutes. At time=15, 30, 45 and 60minutes, a 5 mL aliquot of solution was removed from each vessel. Thesample from each vessel was filtered and the absorbance of the samplemeasured (UV spectrophotometer; 2 mm path length quartz cell; 243 nm orwavelength of UV maxima; blank: dissolution medium). Percent dissolutionwas calculated based on the measured absorbances. The results of thedissolution tests are reported in Table 16A.

TABLE 16A DISSOLUTION (%) AT VARIOUS TIME (MINUTES) TABLET 15 30 45 60Example 1: 25 mg Dose 92 99 100 101 Tablet (Coated) Example 1: 25 mgDose 92 98 99 99 Tablet (Uncoated) Example 2: 50 mg Dose 90 100 102 103Tablet (Coated) Example 2: 50 mg Dose 89 97 98 98 Tablet (Uncoated)Example 3: 100 mg 82 95 97 98 Dose Tablet (Coated) Example 3: 100 mg 8494 96 96 Dose Tablet (Uncoated)

A similar study was carried out using 100 mg coated tablets prepared asdiscussed in Example 3 in which the eplerenone had a D₉₀ particle sizeof 45 microns, as in Example 3, 165 microns and 227 microns. Six tabletswere used for each study rather than twelve as above. The results ofthat study are shown in Table 16B, below. The particle size distributionof those three samples is shown in Table 16C, hereinafter.

TABLE 16B DISSOLUTION (%) AT VARIOUS TIME (MINUTES) TABLET 15 30 45 6090 Example 3: 69 87 93 95 97 D₉₀ = 45 microns Example 3: 57 80 90 95 102D₉₀ = 165 microns Example 3: 47 69 80 87 100 D₉₀ = 227 microns

TABLE 16C Micronized Eplerenone Particle Size Distribution in MicronsD_(value) D₉₀ = 45 D₉₀ = 165 D₉₀ = 227 D₅  1.7 4 6.5 D₁₀ 2.7 9 18 D₅₀13.3 75 102 D₇₅ 27 119 164 D₉₀ 44.7 165 227 D₉₅ 58.3 196 265

EXAMPLE 17 Controlled Release Dissolution Tests

The procedure of Example 16 using 1% SDS was followed to test the 100 mgdose controlled release tablets of Examples 11 and 13 and the 50 mg, 100mg and 150 mg dose controlled release tablets of Example 12. The meanresults of the dissolution tests are reported in Table 17.

TABLE 17 2 Hour 6 Hour CR Dissolution (%) CR Tablet 4 Hour CR TabletTablet (Example (Example 12) (Example Time 11: 100 50 mg 100 mg 150 mg13: 100 (Hours) mg Dose) Dose Dose Dose mg Dose) 0.5 5 6 7 7 4 1 8 12 1313 7 2 18 25 27 26 15 3 29 38 40 39 24 4 48 51 53 51 33 6 86 74 74 71 498 100 87 91 87 64 9 — 97 101 100 — 24 104 — — — 105

EXAMPLE 18 Particle Size Analysis

Table 18 shows the results of a particle size sieve analysis of smallscale wet granulated batches of the pharmaceutical compositions ofExamples 1, 11, 12 and 13 prior to compression into the tablets.“Cumulative Percent of Batch” reports the percent of the total batchhaving a particle size larger than the indicated sieve size.

TABLE 18 CUMULATIVE PERCENT OF BATCH 4 Hour CR IR* 2 Hour CR (Ex. 12 6Hour CR SIEVE SIZE (Ex. 1 (Ex. 11 Comp.- (Ex. 13 (MICRONS) Comp.) Comp.)100 mg Dose) Comp.) Fines 100.00 100.00 100.00 100.0 63 91.13 88.6888.37 84.11 (230 mesh screen) 106 79.97 76.53 70.92 68.26 (140 meshscreen) 180 57.10 65.71 52.88 51.12 (80 mesh screen) 250 35.19 57.8142.62 41.58 (60 mesh screen) 300 22.54 51.64 36.34 35.07 (50 meshscreen) 425 8.85 40.60 27.31 26.21 (40 mesh screen) IR = immediaterelease; CR = controlled release; Ex. = example; Comp. = composition.

EXAMPLE 19 Bulk Density Analysis

Table 19 shows the mean results of a bulk density analysis of severalsmall scale wet granulated batches of the pharmaceutical compositions ofExamples 1, 11, 12 and 13 prior to compression into the tablets:

TABLE 19 COMPOSITION BULK DENSITY (g/mL³) Example 1: Immediate Release0.568 Example 11: 2 Hour Controlled 0.622 Release Example 11: 4 HourControlled 0.565 Release Example 1: 4 Hour Controlled 0.473 ReleaseExample 1: 4 Hour Controlled 0.487 Release Example 1: 4 Hour Controlled0.468 Release Example 1: 6 Hour Controlled 0.528 Release

EXAMPLE 20 Tablet Analysis Program

Table 20 shows the results of the tablet analysis program (“TAPanalysis”) for a sampling of tablets of having the composition of thetablets of Examples 1, 2, 3, 11, 12 and 13.

TABLE 20 AVERAGE AVERAGE TABLETS TESTED WEIGHT THICKNESS HARDNESS (N =10) (mg) (mm) (kP) Example 1: 25 mg Dose 88.5 3.3157 7.64 (IR*, FilmCoated) Example 1: 25 mg Dose 85.5 3.2845 4.55 (IR, Uncoated) Example 2:50 mg Dose 170.5 4.0297 7.31 (IR, Uncoated) Example 2: 50 mg Dose 176.04.093 10.95 (IR, Film Coated) Example 3: 100 mg Dose 340.7 4.4902 9.92(IR, Uncoated) Example 3: 100 mg Dose 349.6 4.546 13.91 (IR, FilmCoated) Example 11: 100 mg Dose 329.7 4.412 11.53 (2 Hour CR*) Example12: 50 mg Dose 160.0 4.1723 10.55 (4 Hour CR) Example 12: 100 mg Dose331.4 4.6672 14.62 (4 Hour CR) Example 12: 150 mg Dose 498.7 5.444011.63 (4 Hour CR) Example 13: 100 mg Dose 335.1 4.8242 11.05 (6 Hour CR)See Table 19 notes.

EXAMPLE 21 Friability Test

Twenty tablets were weighed and placed in a rotating drum. Extraneousdust was first removed from the drum and the tablets. The drum wasstarted and rotation continued for ten minutes at a minimum of 25rotations per minute. The rotation of the drum was stopped and thetablets removed. Loose dust on the tablets as well as any broken tabletswere removed and the intact tablets were weighed. The percent loss ofthe test samples from Examples 1, 2, 3, 11, 12 and 13 was calculated andis reported below in Table 21.

TABLE 21 TABLETS PERCENT LOSS Example 1: 100 mg 0.177 Dose (IR*) Example2: 50 mg 0.236 Dose (IR) Example 3: 25 mg 0.000 Dose (IR) Example 11:100 mg 0.42 Dose (2 Hour CR*) Example 12: 100 mg 0.33 Dose (4 Hour CR)Example 13: 100 mg 0.12 Dose (6 Hour CR) See Table 19 notes.

EXAMPLE 22 Preparation of Immediate Release Tablet

The ingredients of the pharmaceutical compositions of the presentinvention can be prepared in accordance with acceptable pharmaceuticalmanufacturing practices in the manner illustrated by the flow of FIGS.1A and 1B for small scale preparations.

An illustrative formulation process using the starting materials ofTable 22 is set forth below. The process can be operated as a singlebatch reaction or as two or more parallel batch reactions.

TABLE 22 AMOUNT OF WEIGHT % STARTING MATERIAL INGREDIENT OF TABLET(KG/BATCH) Eplerenone 29.41 4.412 Lactose Monohydrate 42.00 6.3 (#310,NF) Microcrystalline Cellulose 7.50 1.125 (intragranular) (NF, Avicel ®PH101) Croscarmellose Sodium 5.00 0.75 (NF, Ac-Di-Sol ™) Hydroxypropyl3.00 0.45 Methylcellulose (#2910, USP, Pharmacoat ™ 603) Sodium Lauryl1.00 0.15 Sulfate (NF) Sterile water for irrigation Talc (USP) 1.00 0.15Microcrystalline Cellulose 10.59 1.588 (extragranular) (NF, Avicel ®PH101) Magnesium 0.50 0.075 Stearate (NF) Total 100.00 15.00

Milling: The eplerenone was milled in a jet mill. The resulting milledeplerenone had D₁₀, D₅₀ and D₉₀ values of 2.65 microns, 23.3 microns and99.93 microns, respectively. In other words, 10%, 50% and 90% of theeplerenone particles were less than 2.65 microns, 23.3 microns and 99.93microns, respectively, in size. A pin mill is preferred for preparationon a manufacturing scale.

Dry Mixing: A 65 L Niro™ Fielder granulator was loaded with the lactose,eplerenone, Avicel®, Ac-Di-Sol™, Pharmacoat™ 603 and sodium laurylsulfate in this order. These materials were mixed to homogeneity (aboutthree minutes) with the main blade on the slow main blade setting andthe chopper blade on the slow chopper blade setting. For manufacturingscale, a machine such as a Bukler Perkins™ 1000L granulator can be used.

Wet Granulation: The dry powder mixture was wet granulated using USPwater. The main blade and chopper blade of the granulator were placed onthe fast speed setting. Five kilograms of water were added to themixture over a period of about three minutes using a Masterflex™ waterpump, model 7524-00 (24″ tubing). The rate of water addition was about1.66 kg/minute. The wet mixture was blended for an additional minute toensure the uniform distribution of the water in the granulation. The wetgranulated mixture was about 38% water by weight.

Drying: The wet granulation was placed in a Freund™ Flo-coater (FLF-15)fluid bed dryer. The inlet air temperature was adjusted to about 68° C.and the granulation was dried in the fluid bed dryer to reduce themoisture content to between 0.5% to 2.5%. Moisture content was monitoredusing a Computrac™ Moisture Analyzer.

Dry Screening: The dry granules were passed through a fitz mill with a20# screen, knives forward, and 2400 rpm speed.

Blending and Lubrication: The dry granules were then placed in a PK 2cubic foot V-blender. The talc and extragranular Avicel® 101 were placedon top of the granules and the mixture blended to homogeneity (about 10minutes). The magnesium stearate was placed on top of the mixture andthe mixture blended for an additional three minutes. A Croff™ Flowblender can be used for large scale preparations.

Compression: The granules were then compressed on a Killian™ table pressto the desired weight and hardness using appropriate size tooling.

The target weight, size and hardness for 25, 50 and 100 mg tablets wasas set forth in Table 22A below:

TABLE 22A Tooling size Dosage of (inch) (round, Target eplerenone Tabletstandard hardness range (mg) weight (mg) concave) (kP) 25 85 7/32 3-9 50 170 9/32 5-14 100 340 12/32  8-16

Film Coating: Sterile water for irrigation was placed in a stainlesssteel container equipped with an electric mixer with a stainless steelimpeller (Lightnin™ TSM 2500). The mixer was turned on at an appropriatespeed. Opadry®, white (YS-1-18027-A) was slowly added to the vortexwhile avoiding the formation of foam to provide a solution having anOpadry® to water weight ratio of 15:85. Mixing continued for anadditional 30 minutes or until all the material was dispersed and ahomogeneous suspension observed. Constant slow stirring was maintainedduring the coating process. Coating of the tablets was carried out inthe conventional manner using a Vector™ Hi Coater VHC-1355 with 35 Lcoating pan with two spray guns.

EXAMPLE 23 Preparation of Controlled Release Tablet

An illustrative formulation process using the starting materials ofTable 23 is set forth below. The process can be operated as a singlebatch reaction or as two or more parallel batch reactions.

TABLE 23 WEIGHT % OF TABLET AMOUNT/BATCH INGREDIENT (100 mg Tablet) (kg)Eplerenone 30.0 3.0 Lactose 34.0 3.4 Monohydrate Microcrystalline 19.51.95 Cellulose (Avicel ® PH 101) Hydroxypropyl 12.0 1.2 methylcellulose(Methocel ® K4M Premium) Hydroxypropyl 3.0 0.3 methylcellulose(Pharmacoat ™ 603) Talc 1.0 0.1 Magnesium Stearate 0.5 0.05 Total 100 10

Dry Mixing: A 60 L Baker Perkins™ blender was loaded with the lactose,micronized eplerenone, Avicel®, Methocel® K4M, and Pharmacoat™ 603 inthis order. These materials were mixed for three minutes with the mainblade on the slow main blade setting and the chopper blade on the slowchopper blade setting.

Wet granulation: The dry powder mixture was wet granulated using USPwater. The main blade and chopper blade of the blender were placed onthe fast speed setting. About 3.1 kg of water was added to the mixtureover a period of about three minutes using an Aeromatic™ water pump. Therate of water addition was about 995 g/minute. The wet mixture wasblended for an additional minute to ensure the uniform distribution ofthe water in the granulation. The wet granulated mixture was about 31%water by weight.

Drying: The wet granulation was placed in an Aeromatic™ fluid bed dryer.The inlet air temperature was set at about 60° C. and the granulationwas dried in the fluid bed dryer to reduce the moisture content tobetween 1% to 3%. Moisture content of the granules was monitored using aComputrac™ Moisture Analyzer.

Dry Screening: The dry granules were passed through a fitz mill (D6A)with 20# screen, knives forward and medium speed (1500-2500 rpm). Themilled granules were collected in a polyethylene bag.

Lubrication: The dry granules were placed in a PK 2 cubic footV-blender. The talc was placed on top of the granulation and blended for5 minutes. The magnesium stearate was then placed on top of thegranulation and blended for 3 minutes. The granulation was dischargedfrom the blender into a fiber drum lined with double polyethylene bags.

Compression: The granulation was compressed on a Korsch™ tablet press tothe desired weight and hardness using {fraction (12/32)}″ round standardconcave tooling. Target weight was 333.3 mg and target hardness was11-13 kP for 100 mg tablets.

Film Coating: USP water was added to a stainless steel container andstirred by an electric mixer with a stainless steel impeller at slowspeed. Opadry® (white: YS-1-18027-A) was slowly added to the vortex. Thestirring speed was increased as necessary to disperse the Opadry® in thewater (10% opadry/90% water w/w) while avoiding the formation of foam.Mixing continued for 30 minutes or until all the material was dispersedand a homogeneous suspension was observed. The suspension was kept underconstant slow stirring during coating.

Coating: A Compulab™ Coater with 36″ coating pan and one spray gun wasused. The atomization air was set at 45 psi. The tablets were weighedand the amount of the coating suspension required to be sprayed in orderto give 3% weight gain for tablets was determined. The tablets wereloaded in the pan and the air flow set to 700 cubic feet per minute. Thetablets were allowed to warm up for approximately 10 minutes by joggingthe pan every two minutes. The inlet air temperature was set at 65° C.The exhaust temperature obtained was about 45° C. Rotation of the pan at10 rpm was initiated and spraying starting. The spray rate was set at 50g/min. The process was monitoring by checking and recording the coatingparameters at each time interval. The coating process continued untilthe required quantity of coating suspension was sprayed, at which timespraying was discontinued. Pan rotation continued for an additional twoto five minutes. The air heater was turned off and the pan rotationstopped. The tablets were allowed to cool for 10 minutes and the pan wasjogged every two minutes during cooling. The coated tablets weredischarged from the coating pan into fiber drums lined with doublepolyethylene bags.

EXAMPLE 24 Single Dose Safety and Pharmacokinetic Study

The pharmacokinetics, safety and antialdosterone activity of single 10,50, 100, 300 and 1000 mg oral doses of eplerenone were evaluated in asingle-center, randomized, double-blind, placebo-controlled study.

It was determined that in plasma eplerenone exists in equilibrium withthe inactive open lactone ring form of eplerenone. The pharmacokineticsof this inactive open lactone ring form of eplerenone was alsoevaluated. The study employed seven parallel dose groups of eighthealthy male humans. Each subject received a single dose of one of thefollowing: (i) a 10 mg dose of eplerenone (one 10 mg dose capsule), (ii)a 50 mg dose of eplerenone (two 25 mg dose capsules), (iii) a 100 mgdose of eplerenone (one 100 mg dose capsule), (iv) a 300 mg dose ofeplerenone (three 100 mg dose capsules), (v) a 1000 mg dose ofeplerenone (five 200 mg dose capsules), (vi) a 50 mg dose ofspironolactone, or (vii) a placebo. The pharmacokinetic profiles wereevaluated using the measured blood and urine levels of eplerenone, theopen lactone ring form of eplerenone and spironolactone.

Antialdosterone activity was determined based on urine levels of sodiumand potassium following repeated administration of fludrocortisone.Safety was determined on the basis of laboratory tests, vital signs, andthe occurrence and types of adverse events.

The eplerenone capsules administered corresponded to the capsules (orcombinations of the capsules) disclosed in Examples 4, 5, 7 and 8 above.The placebo was a conventional capsule containing lactose. Thespironolactone used in the study was obtained from Searle Canada(Oakville, Ontario). The fludrocortisone used in the study consisted ofcommercially available fludrocortisone tablets (Florinef®, Squibb BV).

The subjects, who underwent a ten hour food fast prior to administrationof the dose, received a single oral dose of one of the study medicationstogether with about 180 mL of water at 0800 hours. All subjects receiveda 1.0 mg dose of fludrocortisone nine hours before administration of thestudy medication; a 0.5 mg dose of fludrocortisone at the time ofadministration of the study medication; a 0.1 mg dose of fludrocortisoneat 2, 4, 6, 8, 10, 12 and 14 hours after administration of the studymedication; and a 0.5 mg dose of fludrocortisone 16 hours afteradministration of the study medication. Each dose of fludrocortisone wasadministered with 150 mL of water except for the 1.0 mg dose which wasadministered with 200 mL of water.

A 12-lead ECG was obtained prior to dosing (within one hour) and at 2,3, 4 and 24 hours after administration of the study medication. Bodytemperature (oral), respiratory rate, and pulse rate and blood pressure(after sitting for three minutes) were obtained prior to dosing (withinone hour) and at 0.25, 0.5, 1, 2, 4, 8, 12, and 24 hours afteradministration of the study medication. Blood samples were collected at−0.25 (predose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 28, 32, 48, 72 and96 hours post dose. Urine samples were collected for the followingperiods: −9 to 0; 0 to 2; 2 to 4; 4 to 6; 6 to 8; 8 to 10; 10 to 12; 12to 14; 14 to 16; and 16 to 24 hours.

The plasma samples collected from subjects dosed with eplerenone wereassayed for concentrations of eplerenone and the open lactone ring formof eplerenone. The plasma samples of the subjects dosed withspironolactone were assayed for concentration of spironolactone and itsactive metabolites canrenone, 7α-thiomethylspirolactone, and6β-hydroxy-7α-thiomethylspirolactone. A subset of plasma samples wasalso assayed for testosterone levels. The urine collected was analyzedto determine concentrations and amounts of eplerenone and the openlactone ring form of eplerenone, the amount of sodium and potassiumexcreted, and the urinary log₁₀ (sodium/potassium) ratio. The meanresults obtained from the subjects tested are reported in Tables 24Athrough 24J below. There were no clinically significant changes inphysical examinations, vital signs or clinical laboratory results. Alladverse events were mild in severity.

TABLE 24A Plasma Concentration Of Time Eplerenone or SpironolactoneAfter (ng/mL) Dosing 10 mg 50 mg 100 mg 300 mg 1000 mg 50 mg (hours)(Epl.*) (Epl.) (Epl.) (Epl.) (Epl.) (Spi*) −0.25 0 0 0 0 0 0 0.5 130.4552.5 758.0 1619.6 3176.3 10.5 1.0 177.0 720.6 1224.6 2676.3 5258.8 23.62.0 158.6 692.9 1363.8 2775.0 5940.0 14.4 3.0 125.4 591.5 1113.5 2225.06810.0 14.3 4.0 105.7 456.6 900.1 1951.3 6218.8 4.8 6.0 65.3 269.8 558.51266.6 4150.0 0 8.0 34.4 146.4 275.3 842.9 2827.5 0 12.0 6.0 49.4 124.0333.0 1335.1 0 16.0 6.0 18.3 41.9 141.9 646.8 0 24.0 1.7 3.0 13.1 38.3208.0 0 28.0 0 1.8 6.1 21.1 107.1 0 32.0 0 0 3.0 11.3 61.7 0 48.0 0 0 01.7 22.3 0 72.0 0 0 0 0 1.4 0 96.0 0 0 0 0 0 0 *Epl. = eplerenone; Spi.= spironolactone.

The data demonstrated a linear relationship between eplerenone dose andplasma concentration for the eplerenone dosages evaluated.

TABLE 24B Pharmacokinetic Parameter Value Pharmaco- (Epl. = Eplerenone)kinetic 10 mg 50 mg 100 mg 300 mg 1000 mg Parameter (Epl.) (Epl.) (Epl.)(Epl.) (Epl.) AUC₍₀₋₉₆₎ 941.5 4017.0 7943.4 18451.4 56435.3 (ng/mL)hrC_(max) 191.3 797.0 1505.0 2967.5 7261.3 (ng/mL) T_(max) 1.3 1.4 1.5 1.52.5 (hours) T_(1/2) 2.1 2.9 4.9 3.7 15.1 (hours) Mean 3.9 4.2 4.9 5.57.0 Residence Time (hours) Oral 13.3 13.7 13.1 17.6 18.4 Clearance(L/hr)

TABLE 24C Plasma Concentration of Open Ring Lactone Time After (ng/mL)Dosing 10 mg 50 mg 100 mg 300 mg 1000 mg (hours) (Epl.)¹ (Epl.) (Epl.)(Epl.) (Epl.) −0.25 0 0 0 0 0 0.5 1.2 24.3 33.9 123.0 191.3 1.0 1.0 34.550.3 203.2 359.9 2.0 0 27.1 48.8 177.9 405.8 3.0 0 22.5 40.3 141.4 453.34.0 0 17.5 30.6 116.7 392.3 6.0 0 9.5 19.0 74.0 285.3 8.0 0 3.3 6.5 45.1167.9 12.0 0 0 0 15.3 73.7 16.0 0 0 0 2.1 36.9 24.0 0 0 0 0 8.3 28.0 0 00 0 3.2 32.0 0 0 0 0 1.8 48.0 0 0 0 0 0 72.0 0 0 0 0 0 ¹Mostconcentrations were below the assay detection limit; Epl. = eplerenone.

Plasma concentration of eplerenone was about 15 to 20 times greater thanplasma concentrations of the open ring lactone form.

TABLE 24D Pharmacokinetic Parameter Value Pharmaco- (Open Ring Lactone)kinetic 10 mg 50 mg 100 mg 300 mg 1000 mg Parameter (Epl.*) (Epl.)(Epl.) (Epl.) (Epl.) AUC₍₀₋₉₆₎ — 142.8 246.8 1065.1 3483.5 (ng/mL)hrC_(max) — 36.4 60.4 211.8 521.5 (ng/mL) T_(max) — 1.0 1.1 1.3 2.5(hours) T_(1/2) — 2.7 2.7 2.8 2.6 (hours) Mean — 2.8 3.3 4.2 5.7Residence Time (hours) Oral — 491.3 445.2 299.8 330.7 Clearance (L/hr)*Epl. = eplerenone.

TABLE 24E Plasma Concentration of Testosterone Time (ng/mL) Post 1000Dosing Pla- 10 mg 50 mg 100 mg 300 mg mg 50 mg (hours) cebo (Epl.*)(Epl.) (Epl.) (Epl.) (Epl.) (Spi.*) −0.25 5.6 5.2 6.5 6.4 5.7 6.5 5.50.5 — 5.5 — — — — — 1.0 5.0 4.6 6.0 5.6 5.5 5.7 5.6 2.0 5.1 4.6 6.1 5.85.3 5.4 5.1 3.0 — — 7.1 — — 6.9 — 4.0 4.4 4.3 5.1 4.8 5.2 5.1 4.3 6.03.5 3.6 4.4 3.8 4.1 4.5 3.3 8.0 3.4 3.8 4.3 3.8 4.5 4.7 3.5 12.0 3.4 3.24.5 4.0 4.3 4.0 3.6 24.0 6.1 5.3 7.4 6.0 6.3 7.2 6.0 48.0 5.1 4.7 6.16.0 5.7 6.5 5.2 *See notes to Table 24B.

TABLE 24F Concentration (Amount) of Eplerenone Excreted in Urine Collec-[ng/mL; (mcg)] tion 10 mg 50 mg 100 mg 300 mg 1000 mg Period (Epl.*)(Epl.) (Epl.) (Epl.) (Epl.) −9 to 0 0 0 0 0 0 hours (0) (0) (0) (0) (0)0 to 2 278.0 1252.2 2623.3 9370.1 17858.6 hours (21.6) (99.2) (360.2)(677.7) (1482.0) 2 to 4 191.1 1064.6 2305.6 6465.9 24450.3 hours (35.8)(175.3) (407.6) (873.7) (5983.3) 4 to 6 107.2 518.3 1157.3 3865.213899.7 hours (16.5) (60.6) (285.1) (672.6) (4041.5) 6 to 8 63.8 307.3627.6 2237.8 8782.1 hours (7.6) (30.7) (158.8) (337.0) (2083.0) 8 to 100 172.4 362.9 1208.6 4491.0 hours (0) (27.6) (69.1) (307.9) (1853.9) 10to 12 0 72.7 146.6 542.4 2361.1 hours (0) (16.5) (44.7) (162.4) (1177.2)12 to 14 0 23.1 110.3 419.6 3183.7 hours (0) (11.3) (26.6) (97.4)(892.8) 14 to 16 0 21.6 36.5 292.6 1405.2 hours (0) (1.5) (6.6) (52.2)(340.5) 16 to 24 0 13.1 7.1 126.4 658.0 hours (0) (4.0) (2.7) (50.4)(366.0) 0 to 24 (78.8) (410.6) (1271.4) (2872.3) (17246.6) hours Seenotes to Table 24B.

TABLE 24G Concentration (Amount) of Open Ring Lactone Excreted in UrineCollec- [ng/mL; (mcg)] tion 10 mg 50 mg 100 mg 300 mg 1000 mg Period(Epl.*) (Epl.) (Epl.) (Epl.) (Epl.) −9 to 0 0 0 0 0 0 hours (0) (0) (0)(0) (0) 0 to 2 1781.8 9833.2 12079.2 47865.1 60184.4 hours (130.9)(689.1) (1079.2) (3357.2) (4589.2) 2 to 4 854.1 6839.0 9309.8 27970.556341.5 hours (144.5) (801.3) (1355.4) (3923.5) (12603.2) 4 to 6 532.73789.4 3712.5 16280.0 28771.3 hours (77.3) (404.3) (796.7) (2679.3)(8481.4) 6 to 8 513.3 2776.2 2688.1 11626.0 27599.7 hours (50.3) (268.0)(507.1) (1718.3) (5904.1) 8 to 10 130.3 1091.0 1400.6 4425.1 9952.4hours (25.1) (156.3) (246.7) (1053.8) (3566.2) 10 to 12 44.8 461.6 536.51965.5 4822.7 hours (11.0) (91.3) (154.5) (580.9) (2212.1) 12 to 14 38.8246.9 431.6 1841.2 5549.0 hours (7.4) (64.0) (98.2) (426.7) (1932.3) 14to 16 26.4 359.9 241.4 1448.3 3877.4 hours (3.2) (33.7) (51.1) (259.8)(920.4) 16 to 24 0 131.0 133.1 721.8 2835.8 hours (0) (42.8) (58.8)(287.8) (1381.6) 0 to 24 (433.3) (2431.2) (4077.9) (12699.9) (39017.9)hours *See notes to Table 24B.

Excretion of total eplerenone (that is, eplerenone and its open ringlactone form) in the urine represented approximately 5% of the dose forall doses administered. Urinary excretion of total eplerenone occurredalmost entirely within the first 24 hours after dosing.

TABLE 24H Urinary Log₁₀ (Sodium/Potassium) Ratio Collec- 1000 tion Pla-10 mg 50 mg 100 mg 300 mg mg 50 mg Period cebo (Epl.*) (Epl.) (Epl.)(Epl.) (Epl.) (Spi.*) −9 to 0 0.920 0.918 0.960 0.874 1.026 0.985 1.006hours 0 to 2 0.675 0.313 0.703 0.463 0.761 0.956 0.657 hours 2 to 40.643 0.435 0.901 0.795 1.140 1.313 0.860 hours 4 to 6 0.448 0.401 0.9000.901 1.231 1.398 0.904 hours 6 to 8 0.590 0.618 0.906 0.970 1.451 1.5941.023 hours 8 to 10 0.583 0.578 0.769 0.735 1.265 1.451 0.865 hours 10to 12 0.625 0.614 0.797 0.564 1.123 1.389 0.821 hours *See notes totable 24B.

Administration of the aldosterone agonist fludrocortisone resulted in adecreased urinary log₁₀ (sodium/potassium) ratio. Administration of a 50mg or larger dose of eplerenone reversed the effect of thefludrocortisone over a 12 hour period with a corresponding increase insodium excretion.

TABLE 24I Urinary Sodium Excretion (mmol) Collec- 1000 tion Pla- 10 mg50 mg 100 mg 300 mg mg 50 mg Period cebo (Epl.*) (Epl.) (Epl.) (Epl.)(Epl.) (Spi.*) −9 to 0 28.8 33.4 29.2 25.7 32.8 32.8 29.1 hours 0 to 26.5 4.8 6.1 5.6 5.8 9.3 4.1 hours 2 to 4 7.2 7.3 10.3 11.7 15.7 28.1 8.5hours 4 to 6 5.9 4.3 10.2 15.0 21.9 29.9 9.4 hours 6 to 8 6.0 6.2 9.017.9 23.3 36.1 14.8 hours 8 to 10 7.2 7.0 9.4 13.0 25.6 46.8 13.4 hours10 to 12 8.1 7.1 10.8 7.3 16.1 29.3 8.4 hours 12 to 14 9.6 10.0 11.710.2 17.5 44.2 11.5 hours 14 to 16 6.7 4.2 4.0 4.2 8.6 17.0 5.9 hours 16to 24 5.3 6.8 7.3 6.6 10.0 18.8 11.8 hours See notes to Table 24B.

TABLE 24J Urinary Potassium Excretion (mmol) Collec- 1000 tion Pla- 10mg 50 mg 100 mg 300 mg mg 50 mg Period cebo (Epl.*) (Epl.) (Epl.) (Epl.)(Epl.) (Spi.*) −9 to 0 34.2 36.8 29.9 33.8 29.9 34.1 26.9 hours 0 to 210.3 12.8 10.0 13.7 8.4 9.8 7.5 hours 2 to 4 14.9 17.4 13.8 15.1 10.913.9 11.8 hours 4 to 6 15.9 13.9 12.7 17.2 12.4 12.2 10.2 hours 6 to 812.0 12.9 11.3 15.2 7.9 9.9 13.3 hours 8 to 10 15.5 16.7 15.5 18.2 14.016.6 17.9 hours 10 to 12 16.2 15.8 16.3 15.0 12.2 12.1 12.5 hours 12 to14 20.5 24.9 23.3 21.6 19.3 21.8 20.6 hours 14 to 16 13.1 13.3 9.8 11.410.5 9.3 11.4 hours 16 to 24 25.3 27.6 28.3 29.3 21.5 25.7 27.9 hoursSee notes to Table 24B.

The data demonstrate a linear relationship between eplerenone dose andantialdosterone activity. Urinary sodium excretion and urinary log₁₀(sodium/potassium) ratio increased with increasing eplerenone doses.

EXAMPLE 25 Absorption, Distribution, Metabolism and Elimination Study

An open-label, single dose study was employed to evaluate theabsorption, distribution, metabolism and elimination profile of a single100 mg dose of an oral solution of eplerenone. The pharmacokinetics ofthe inactive open lactone ring form of eplerenone was also evaluated.

The study employed eight healthy male humans. Each subject received asingle 100 mg oral dose of a solution of [¹⁴C]eplerenone (specificactivity 0.75 μCi/mg). Plasma, saliva, breath, urine and fecal sampleswere collected at predetermined intervals and analyzed for sampleradioactivity and the concentration of eplerenone and its open lactonering form. Safety was determined on the basis of laboratory tests, vitalsigns, and the occurrence and types of adverse events.

The subjects, who underwent an overnight food fast prior toadministration of the dose, received at 0800 hours a single 100 mg oraldose of an aqueous oral solution of radiolabeled eplerenonereconstituted in 80 mL of an apple juice/hydroxypropyl-β-cyclodextrinmixture. The subjects swallowed about 200 mL of water one, two and threehours post dosing.

A 12-lead ECG was obtained prior to dosing (within one hour) and at 2,3, 4 and 24 hours after administration of the study medication. Bodytemperature (oral), respiratory rate, and pulse rate and blood pressure(after sitting three minutes) were obtained prior to dosing (withinone-half hour) and at 0.5, 1, 4, and 24 hours after administration(dosing) of the study medication. Blood samples were collected at −0.5(predose), 0.5, 1, 1.5, 2, 2.5, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72 and96 hours post dose. Urine samples were collected for the followingperiods: −12 to 0; 0 to 2; 2 to 4; 4 to 8; 8 to 12; 12 to 24; 24 to 48;72 to 96; 96 to 120; 120 to 144; and 144 to 168 hours. Individual fecalsamples were collected beginning immediately after dosing and continuingthrough 0800 hours on day 8. In addition, one predose fecal sample wasprovided. Saliva samples were taken at 0.5 hour predose and at 0.5, 1,2, 4, 6, 12, and 24 hours postdose. Breath samples were taken at 0.5hour predose and at 1, 2, 3, 4, 6, 8, 12, 24, 36, 48 and 72 hourspostdose.

The data show that elimination of eplerenone is by metabolism and notexcretion of unchanged eplerenone. The mean percentages of the doseexcreted as total radioactivity in urine and feces were 66.6% and 32.0%,respectively. The majority of urinary and fecal radioactivity was due tometabolites and less than 15% was due to eplerenone. The meanpercentages of the dose excreted in urine as eplerenone and its openlactone ring form were 1.65% and 4.98%, respectively. The meanpercentages of the dose excreted in feces as eplerenone and its openlactone ring form were 0.807% and 2.46%, respectively. There were noclinically significant changes in physical examinations, vital signs orclinical laboratory test results. There were no serious adverse effects.

There were no detectable concentrations of total radioactivity in thebreath collected at any of the time points from any of the subjects. Themean percentage of total radioactivity bound to plasma proteins in the1.5 hour plasma samples was 49.4%. The mean concentration of totalradioactivity in these samples was 2.39 μg/mL. When [¹⁴C]eplerenone wasspiked into the control plasma, which had been frozen, the percentage ofeplerenone bound was 40.4% at a concentration of 14.5 μg/mL.

The mean results of selected tests are reported in Tables 25A, 25B, 25Cand 25D below.

TABLE 25A Total Radioactivity Pharmacokinetic Plasma Whole Blood SalivaParameter (+ SEM) (+ SEM) (+ SEM) AUC_(0−inf) 18400 ± 12800 ± 800 7960 ±500 (ng equivalents 1200 hr/mL) C_(max) (ng 2490 ± 110 1770 ± 80 2170 ±280 equivalents/mL) T_(max)  1.3 ± 0.2  1.1 ± 0.2  0.6 ± 0.1 (hour)

TABLE 25B Plasma Concentration (ng/mL) Time After Open Lactone RingDosing (hours) Eplerenone Form −0.5 0 0 0.5 1345.0 63.2 1.0 1617.5 78.01.5 1591.3 70.8 2.0 1418.8 59.9 2.5 1258.1 51.0 3.0 1176.3 46.9 4.01001.4 41.9 6.0 595.5 23.0 8.0 390.6 13.0 12.0 148.6 1.9 16.0 68.0 024.0 17.3 0 36.0 0 0 48.0 0 0 72.0 0 0 96.0 0 0

TABLE 25C Plasma Pharmacokinetic Parameters Open Lactone Eplerenone RingForm AUC₍₀₋₉₆₎ 9537.2 352.2 (ng/mL)hr C_(max) 1721.3 82.8 (ng/mL)T_(max) 1.3 1.1 (hours) T_(1/2) 3.8 3.1 (hours) Mean 4.8 3.4 ResidenceTime (hours) Oral 11.4 306.3 Clearance (L/hr)

TABLE 25D Urinary Excretion Eplerenone Open Lactone Ring Form CollectionConcentration Amount Concentration Amount Period (ng/mL) (mcg) (ng/mL)(mcg) −12 to 0 hours 0 0 0 0 0 to 2 hours 2933.4 457.5 9004.8 1345.3 2to 4 hours 1635.2 622.0 4235.1 1249.6 4 to 8 hours 1067.0 314.0 4717.11349.8 8 to 12 hours 388.9 158.0 1555.7 596.2 12 to 24 hours 99.5 95.7438.0 400.0 24 to 48 hours 0 0 22.2 38.8 48 to 72 hours 0 0 0 0

Over 90% of the urinary radioactivity was excreted within the first 24hours, indicating rapid elimination of the eplerenone and itsmetabolites. The majority of urinary and fecal radioactivity was due tometabolites, indicating extensive metabolism by the liver.

EXAMPLE 26 Bioavailability Study

The bioavailability and safety of five different formulations (eachcontaining a 100 mg dose of eplerenone) were evaluated in an open-label,randomized, single dose, five-way crossover study of a group of healthyadult humans. The subjects received five single doses of 100 mg ofeplerenone administered as (i) one eplerenone 100 mg immediate release(IR) capsule, (ii) one eplerenone 100 mg immediate release (IR) tablet,(iii) one eplerenone 100 mg controlled release (CR) tablet with a 50% invitro dissolution time of two hours, (iv) one eplerenone 100 mgcontrolled release (CR) tablet with a 50% in vitro dissolution time offour hours, and (iv) one eplerenone 100 mg controlled release (R) tabletwith a 50% in vitro dissolution time of six hours. A total of 13subjects began the study with nine subjects completing all fivetreatments. Treatments were separated by seven days. The specificpharmaceutical compositions of each formulation are reported in Table26A.

TABLE 26A WEIGHT % OF TABLET/CAPSULE Two Four Six IR IR Hour CR Hour CRHour CR Capsule Tablet Tablet¹ Tablet² Tablet³ INGREDIENT (T.* A) (T. B)(T. C) (T. D) (T. E) Eplerenone 25 30 30 30 30 Lactose 57.86 42 40 3430.5 Monohydrate (Fast- Flo ™ lactose) Microcrystal- 11.34 17.5 19.519.5 15 line Cellulose (Avicel ® (7.5% (Avicel ® PH PH 102) intra⁴ 101)plus 10% extra⁴) Croscarmellose 2 5 — — — Sodium (Ac-De-Sol ™)Methocel ® — — 6 12 20 K4M Premium Hydroxypropyl — 3 3 3 3 Methyl-cellulose (Pharmacoat ™ 603) Sodium Lauryl 0.5 1 — — — Sulfate Talc 2.51 1 1 1 Magnesium 0.3 0.5 0.5 0.5 0.5 Stearate Colloidal 0.5 — — — —Silicon Dioxide Total 100 100 100 100 100 ¹50% in vitro dissolution timeof 2 hours. ²50% in vitro dissolution time of 4 hours. ³50% in vitrodissolution time of 6 hours. *T. = treatment. ⁴intra = intragranular;extra = extragranular.

The subjects, who underwent an eight hour food fast and a one hour waterfast prior to administration of each dose, received a single oral doseof one of the study medications on days 1, 8, 15, 22 and 29 in one offive randomized treatment sequences (ABDCE, BCAED, CDEAB, DECBA, andEABDC). The medication was administered together with about 180 mL ofwater at 0800 hours. Blood samples were collected at −0.5 (predose),0.5, 1, 2, 3, 4, 6, 8, 10, 12, 16, 24, 36 and 48 hours post dose. Urinesamples were collected and pooled between the hours of 0-24 and 24-48hours postdose. Analyses of the separated plasma and urine foreplerenone and its inactive open lactone ring form were performed atPhoenix International Life Sciences, Quebec, Canada. Plasma and urinaryconcentrations of eplerenone and its inactive open lactone ring formwere determined using a validated high performance liquid chromatography(“HPLC”) procedure for the inactive open lactone ring form. The lowerlimits of detection in urine were approximately 50 ng/mL for botheplerenone and the inactive form. The mean results obtained are reportedin Tables 26B, 26C, 26D and 26E below. Table 26F illustrates micronizedeplerenone particle size distribution in microns for several of thepreparations used in this Example.

TABLE 26B Plasma Concentration Of Eplerenone (ng/mL) Time After IR IRTwo Hour Four Hour Six Hour Dosing (hours) Capsule Tablet CR Tablet CRTablet CR Tablet −0.5 3.0 0 0 0 0 0.5 939.3 818.2 287.2 144.1 53.5 1.01335.8 1413.0 579.2 337.1 176.1 2.0 1560.7 1616.6 973.8 569.0 393.8 3.01426.8 1402.1 1111.5 718.3 555.1 4.0 1292.3 1130.2 1109.2 826.1 616.36.0 851.3 759.6 933.2 753.2 525.6 8.0 536.9 506.4 690.1 691.7 524.7 10.0386.3 328.3 540.3 631.1 430.6 12.0 250.9 227.1 417.3 597.5 429.9 16.0124.3 121.8 229.0 390.1 357.2 24.0 33.2 52.6 81.2 171.0 168.3 36.0 7.16.5 17.2 29.4 39.8 48.0 11.8 6.5 6.6 11.4 12.6

TABLE 26C Eplerenone Plasma Pharmacokinetic Parameters Pharmaco- TwoFour Six kinetic IR IR Hour CR Hour CR Hour CR Parameter Capsule TabletTablet Tablet Tablet AUC₍₀₋₄₈₎ 12042.69 12092.16 11949.27 13263.2310663.00 (ng/mL)hr AUC_(0-LQC)) 11944.77 11981.35 11706.29 13061.7510588.93 (ng/mL)hr AUC_((0-∞)) 11224.29 12188.89 12045.98 13402.5510815.43 (ng/mL)hr C_(max) 1704.90 1668.76 1152.65 878.87 709.91 (ng/mL)C_(max)/ 0.16 0.17 0.11 0.07 0.08 AUC_((0-LQC)) (hr⁻¹) T_(max) 1.84 1.343.34 4.56 7.55 (hours) T_(1/2) 4.08 4.10 5.17 5.41 6.01 (hours) XU₍₀₋₂₄₎1.82 1.98 1.81 1.57 1.47 (mg) XU₍₂₄₋₄₈₎ 0.01 0.06 0.00 0.16 0.17 (mg)XU₍₀₋₄₈₎ 1.83 2.04 1.81 1.73 1.64 (mg)

TABLE 26D Time Plasma Concentration Of Open Ring Lactone After (ng/mL)Dosing IR IR Two Hour Four Hour Six Hour (hours) Capsule Tablet CRTablet CR Tablet CR Tablet −0.5 0 0 0 0 0 0.5 46.5 39.2 9.7 2.9 0.0 1.065.4 68.1 24.5 13.3 3.9 2.0 71.1 78.7 43.8 22.9 14.3 3.0 65.0 66.1 47.129.5 21.4 4.0 57.5 54.2 47.2 39.3 22.4 6.0 42.3 39.7 46.8 35.5 21.8 8.023.8 25.8 33.3 33.4 25.4 10.0 19.5 14.4 26.5 30.2 18.2 12.0 10.6 7.820.5 29.0 18.7 16.0 3.9 3.2 10.2 16.4 14.6 24.0 0.0 1.2 1.7 4.9 4.3 36.00 0 0 0 1.0 48.0 0 0 0 0 0

TABLE 26E Open Ring Lactone Plasma Pharmacokinetic Parameters Pharmaco-Two Four Six kinetic IR IR Hour CR Hour CR Hour CR Parameter CapsuleTablet Tablet Tablet Tablet AUC₍₀₋₄₈₎ 533.56 502.88 527.62 554.71 402.03(ng/mL)hr AUC_((0-LQC)) 504.91 475.75 489.86 495.61 356.94 (ng/mL)hrC_(max) 86.73 81.81 51.16 44.26 32.59 (ng/mL) T_(max) 1.89 1.67 4.344.79 7.67 (hours) XU₍₀₋₂₄₎ 5.94 6.43 6.81 6.42 4.83 (mg) XU₍₂₄₋₄₈₎ 0.160.32 0.25 0.70 0.74 (mg) XU₍₀₋₄₈₎ 6.10 6.75 7.06 7.12 5.56 (mg)

TABLE 26F Micronized Eplerenone Particle Size Distribution in Microns IRTablet, Two Hour, Four Hour D_(value) IR Capsule and Six Hour CR TabletsD₅  2 3 D₁₀ 3 5 D₅₀ 18 33 D₇₅ 39 63 D₉₀ 82 96 D₉₅ 114 119

EXAMPLE 27 Effect of Food Study

An open-label randomized, cross-over study was employed to evaluate thepharmacokinetic profiles of eplerenone under fasted and fed conditions,and the safety and tolerability of eplerenone. Safety was assessed basedon adverse events, vital signs and clinical laboratory tests. Twelvehealthy male subjects were randomized to receive a single 100 mg dose ofeplerenone on days 1 and 8 under (i) fasted conditions, or (ii)immediately following a high-fat breakfast. The subjects were orallyadministered (dosed) a single 100 mg dose of eplerenone in the form ofthe capsule described in Example 7, together with approximately 200 to240 mL of water at 0800 hours on days 1 and 8. Subjects randomized toreceive a high-fat breakfast were to completely ingest the meal within20 minutes prior to dosing. The high-fat meal contained approximately 33g protein, 75 g fat, 58 g carbohydrates and 1000 calories. Blood sampleswere collected at −0.5 (predose), 0.5, 1, 2, 3, 4, 6, 8, 12, 16, 24, 28,32, 48 and 72 hours post dose and analyzed to determine theconcentration of eplerenone and its open lactone ring form. There wereno clinically significant changes in vital signs or physicalexaminations. All adverse events were mild in severity. The mean resultsare reported in Tables 27A and 27B below.

TABLE 27A Plasma Concentration (ng/mL) Time Fasted Conditions High FatBreakfast After Open Ring Open Ring Dosing Lactone Lactone (hours)Eplerenone Form Eplerenone Form −0.5 0 0 0 0 0.5 1010.500 69.163 71.2252.300 1.0 1562.667 91.208 366.192 17.392 2.0 1393.333 70.600 712.25036.964 3.0 1174.417 58.833 1038.167 56.742 4.0 955.167 45.042 1239.75066.817 6.0 586.583 31.773 946.000 51.675 8.0 387.583 18.708 672.83330.950 12.0 150.850 5.519 282.250 12.708 16.0 68.783 0 130.467 2.54024.0 17.667 0 39.008 0 28.0 7.617 0 21.733 0 32.0 3.283 0 7.508 0 48.0 00 1.908 0 72.0 0 0 0 0

TABLE 27B Plasma Pharmacokinetic Parameter Value Fasted Conditions HighFat Breakfast Pharmaco- Open Ring Open Ring kinetic Lactone LactoneParameter Eplerenone Form Eplerenone Form AUC₍₀₋₉₆₎ 9202.063 430.62410171.631 470.137 (ng/mL)hr C_(max) 1634.167 100.158 1334.333 73.858(ng/mL) T_(max) 1.292 3.076 3.750 3.198 (hours) T_(1/2) 3.369 3.750 3.711.125 (hours)

For both eplerenone and its open ring lactone form, the high-fat mealled to a reduction in C_(max) and an increase in T_(max), but hadminimal or no measurable effect upon AUCO₀₋₉₆ and T_(½). The resultsindicate that the high fat meal had minimal effect on the extent ofeplerenone absorption, but it did decrease the rate of absorption.Accordingly, dosing of eplerenone can be made without regard for mealtime, as the effect of food appears to have minimal clinicalsignificance.

EXAMPLE 28 Multiple Dose Study

Multiple oral dose tolerability and the pharmacokinetics of severaldosages of eplerenone were evaluated in a double-blind, randomized,placebo-controlled, rising oral dose, sequential panel study of 40healthy male subjects (five groups of eight subjects). The studymedication was administered in three sequential dose panels, with eachpanel including eplerenone, spironolactone and placebo. A single dose of100 mg (one 100 mg dose), 300 mg (three 100 mg dose capsules) or 1000 mgdose eplerenone (five 200 mg dose capsules), 1000 mg dose ofspironolactone, or placebo was administered on Day 1. The 100 mg and 200mg dose capsules corresponded to those described in Examples 7 and 8,respectively. Following a 48-hour interval, the study drug wasadministered once a day for 11 days. Antialdosterone activity wasdetermined following a fludrocortisone challenge on Days 12-13. Plasmapharmacokinetic results are reported in Table 28 below:

TABLE 28 PHARMACOKINETIC PARAMETER VALUE EPLERENONE DOSE: EplerenoneOpen Ring Form PHARMACOKINETIC Single Multiple Single Multiple PARAMETERDose Dose Dose Dose 100 mg Dose: AUC (ng/mL)hr 11349 11772 613 663C_(max) (ng/mL) 1747 1904 108 129 T_(max) (hours) 1.8 1.1 1.7 0.7T_(1/2) (hours) 3.9 4.0 3.5 3.3 300 mg Dose: AUC (ng/mL)hr 23890 265141844 2200 C_(max) (ng/mL) 3227 3583 292 364 T_(max) (hours) 2.4 1.8 1.81.3 T_(1/2) (hours) 4.6 4.6 3.0 3.5 1000 mg Dose: AUC (ng/mL)hr 6205363429 5912 6310 C_(max) (ng/mL) 6885 7394 782 830 T_(max) (hours) 2.01.4 1.7 1.3 T_(1/2) (hours) 8.7 6.2 3.7 4.8

Eplerenone plasma concentrations were detectable at 24 hours postdosefor all dosing groups. Plasma concentrations of eplerenone and meandose-adjusted AUC values following either single or multiple dosesindicate a lack of dose proportionality within the 100 mg to 1000 mgdosage range. Results for the open ring lactone form were consistentwith dose proportionality following single or multiple doses. Overall,there was no significant or dose-related accumulation of eithereplerenone or its open ring lactone form.

Excretion of total eplerenone (that is, eplerenone and its open ringlactone form) in the urine represented approximately 5% of the dose forall doses administered. Urinary excretion of total eplerenone occurredalmost entirely within the first 24 hours after dosing. Eplerenonesignificantly increased the urinary log₁₀ (sodium/potassium) at doses of100 mg to 1000 mg following single dose administration. There was,however, no sustained increase in urinary log₁₀ (sodium/potassium)values following multiple dose administration of either eplerenone orspironolactone. Serum sodium and potassium concentrations were notsignificantly changed following single doses of eplerenone, buttransient reductions in sodium concentrations and increases in potassiumconcentrations were noted following multiple dose administration.Eplerenone produced dose-related increases in mean plasma renin (activeand total) levels and serum aldosterone levels, but did not show anyconsistent, sustained or dose-related effects on most serum sex hormoneand thyroid profiles.

EXAMPLE 29 Treatment of Hypertension Study

The safety and efficacy of a range of doses of eplerenone in thetreatment of hypertension relative to placebo were evaluated in amulti-center, randomized, double-blind, placebo-lead-in, parallel groupstudy. Spironolactone 50 mg BID was included as the active referencedrug. Four hundred and seventeen patients were randomized to one ofeight treatments: (i) placebo BID; (ii) eplerenone 50 mg QD; (iii)eplerenone 100 mg QD; (iv) eplerenone 400 mg QD; (v) eplerenone 25 mgBID; (vi) eplerenone 50 mg BID; (vii) eplerenone 200 mg BID; and (viii)spironolactone 50 mg BID. The primary efficacy variable was the changein cuff diastolic blood pressure (ΔDBP; sitting) measured at troughplasma levels after eight weeks of double blind treatment. The secondaryvariables measured were the change in trough cuff systolic bloodpressure (ΔSBP; sitting), change in 24 hour mean diastolic bloodpressure (ΔDBP), and change in 24 hour mean systolic blood pressure(ΔSBP). The primary and secondary efficacy variables were analyzed tocompare BID versus QD dosing regimens for each eplerenone dose group,and both eplerenone and spironolactone versus placebo. Changes in plasmarenin and serum aldosterone after eight weeks of dosing were alsoanalyzed as secondary measures of efficacy.

All eplerenone doses lowered cuff diastolic and systolic pressures frombaseline after eight weeks of treatment compared to placebo. Greaterreductions in diastolic and systolic blood pressure were observed withincreasing doses of eplerenone. In general, equivalent reductions inblood pressure values were associated with the QD and BID dosingregimens. There was, however, a trend toward greater reduction with theBID dosing regimen. Similar changes were observed in the 24 hour troughambulatory blood pressures. Over the course of the study, the meanchange in heart rate from baseline was minimal in all treatment groups,with the largest mean increase and decrease in heart rate being +2beats/minute and −1.8 beats/minute, respectively. Consistent withaldosterone receptor antagonism, there were increases in aldosterone inboth the eplerenone and spironolactone treatment groups compared toplacebo as well as increases in both total and active renin levels.Safety was assessed by comparing the incidence of adverse events,withdrawals, and the results of urinalysis, hematology and biochemistrylaboratory tests across the treatment group to the placebo group.

There were small but consistent increases in potassium and decreases insodium in all of the eplerenone treatment groups. There were increasesin BUN, uric acid levels and decreases in urine pH compared to placeboin the eplerenone treatment groups. Each eplerenone dosing regimen waswell tolerated by the subjects. No adverse side effects were observed at1000 mg, the highest dose administered.

The specific pharmaceutical compositions of each eplerenone capsule arereported in Examples 5, 6, 7 and 8. The placebo was a conventionalcapsule containing lactose. The spironolactone used in the study wasobtained from Searle Canada (Oakville, Ontario).

The mean results obtained from the subjects tested are reported inTables 29A and 29B below.

TABLE 29A Primary Efficacy Variable: Secondary Efficacy Variables: ΔDBPat ΔSBP at trough trough 24 hour 24 hour Treatment (mmHg, (mmHg, meanΔDBP mean ΔSBP Regimen sitting) sitting) (mmHg) (mmHg) Placebo −1.0 2.00.6 0.0 Eplerenone −4.4 −4.6 −4.8 −7.1 50 mg QD Eplerenone −4.5 −8.0−6.1 −9.7 100 mg QD Eplerenone −8.9 −14.1 −7.6 −13.0 400 mg QDEplerenone −4.5 −8.9 −3.9 −7.4 25 mg BID Eplerenone −7.8 −11.8 −7.2−12.6 50 mg BID Eplerenone −9.4 −15.8 −9.3 −15.9 200 mg BIDSpironolactone −9.5 −17.6 −8.9 −15.7 50 mg BID

An average decrease in diastolic blood pressure of about 5% or greaterwas observed over an interval of about 12 to 24 hours afteradministration of the study medication.

TABLE 29B Plasma Renin Active: Serum Aldosterone: Treatment Mean ChangeFrom Mean Change From Regimen Baseline (mU/L) Baseline (ng/dL) Placebo2.2 1.0 Eplerenone 2.9 6.0 50 mg QD Eplerenone 13.9 10.5 100 mg QDEplerenone 21.2 19.2 400 mg QD Eplerenone 1.2 7.3 25 mg BID Eplerenone15.0 10.0 50 mg BID Eplerenone 32.0 32.8 200 mg BID Spironolactone 13.319.2 50 mg BID

An average increase in plasma renin concentration of about 10% orgreater was observed over an interval of about 12 to 24 hours afteradministration of the study medication. An average increase in plasmaaldosterone concentration of about 50% or greater was observed over aninterval of about 12 to 24 hours after administration of the studymedication.

EXAMPLE 30 Effect of Eplerenone Particle Size

The effect of the particle size of the eplerenone starting material usedin the pharmaceutical composition on eplerenone plasma concentrationsand relative bioavailability was studied in a dog model. Four healthyfemale beagle dogs weighing between 8 to 12 kg were intragastricallyadministered one immediate release (IR) capsule containing theformulation described in Table 30A below followed by about 10 mL ofwater.

TABLE 30A WEIGHT % OF Amount INGREDIENT TABLET (mg) Eplerenone 50.00200.00 Lactose, Fast-Flo ™, 36.95 147.80 Hydrous Microcrystalline 7.2529.00 Cellulose (Avicel ® PH102) Sodium Lauryl 0.50 2.00 SulfateCroscarmellose 2.00 8.00 Sodium Talc 2.50 10.00 Colloidal Silicon 0.502.00 Dioxide Magnesium Stearate 0.30 1.20 Total 100.00 400.00 Capsules,Size #0, 1 Capsule White Opaque

The dogs were fasted for 15 to 20 hours prior to administration of thecapsule and were not fed again until at least 4 hours after doseadministration. Blood samples (approximately 3 mL) were collected byvenipuncture in chilled tubes containing heparin at 0, 0.5, 1, 2, 3, 4,6, 8 and 24 hours after dose administration. The blood samples wereimmediately placed on ice. Separation of plasma from the blood sampleswas complete after about 15 minutes of centrifugation. The resultingplasma samples were frozen at about −20° C. and stored until analyzed.Analysis was performed using an LC/MS/MS procedure.

This study was conducted using the same four dogs for three formulationsthat were identical except for the particle size of the eplerenonestarting material. The three formulations assayed used eplerenonestarting materials having a Dgo particle size (that is, at least 90% ofthe particles were) less than about 212 microns, less than about 86microns, and less than about 36 microns, respectively. A minimum of afive day wash-out period was permitted between administration of each ofthe formulations. Reducing the D₉₀ particle size of the eplerenonestarting material from about 212 microns to less than about 86 micronsincreased relative bioavailability by almost 100%. The mean results arereported in Tables 30B and 30C below.

TABLE 30B Blood Serum Eplerenone Concentration (μg/mL) Time D₉₀ = 212D₉₀ = 86 D₉₀ = 36 (hours) microns microns microns 0 0 0 0 0.5 1.83 3.651.99 1.0 2.40 6.18 5.86 2.0 3.77 6.89 6.77 3.0 2.85 5.70 6.60 4.0 2.614.39 5.56 6.0 1.63 3.11 3.31 8.0 1.10 1.90 2.09 24.0 0.0252 0.032 0.0706

TABLE 30C Pharmacokinetic Parameter Value Pharmaco-kinetic D₉₀ = 212 D₉₀= 86 D₉₀ = 36 Parameter microns microns microns C_(max) (μg/mL) 3.987.02 7.39 T_(max) (hours) 1.50 1.75 2.25 AUC [(μg/mL)hr] 26.6 49.2 53.1Relative 53.25 100 107.9 Bioavailability (%)

Definitions

The term “carrier material” means material included in a pharmaceuticalcomposition to impart certain desirable properties. For example, in thecase of a tablet, carrier material can be added to moderate dissolutionrate, mask a bad taste, or improve appearance of the tablet.

The term “matrix” or “matrix system” means the combination of allcarrier materials of a given formulation in which the active drug isincorporated.

The term “AUC₍₀₋₄₈₎” means the area under the plasma concentration-timecurve from t=0 to t=48 in units of [(ng/mL)hr] determined using thelinear trapezoidal rule.

The term “AUC_((0-LQC))” means the area under the plasmaconcentration-time curve from t=0 to the last quantifiable concentration(“LQC”) in units of [(ng/mL)hr] determined using the trapezoidal rule.

The term “C_(max)” means the maximum observed concentration.

The term “T_(max)” means the time at which C_(max) occurred.

The term “TV_(½)” means the terminal half-life, in units of hours,determined via simple linear regression of natural log (ln)concentration vs. time for data points in the ‘terminal phase’ of theconcentration-time curve. T_(½) was computed as −ln(2)/(−β).

The term “AUC_((0-∞)) is calculated as AUC_((0-LQC))+LQC/(−β), where LQCwas the last quantifiable plasma concentration and β is the slope fromthe calculation of T_(½).

The term “C_(max)/AUC_((0-LQC))” means the rate of absorption.

The term “XU_((0-τ))” means the total amount of eplerenone (or inactiveopen lactone ring form of eplerenone) in the urine during eachcollection period (0-24, 24-48 and 0-48 hours) calculated as the urinedrug concentration multiplied by the urine volume.

The term “MRT” is the mean resident time calculated as the area underthe moment curve (AUMC₍₀₋₉₆₎ divided by AUC₍₀₋₉₆₎.

The term “CL/F” means the apparent (oral) clearance calculated as(1000×dose in mg)/AUC₍₀₋₉₆₎.

As various changes could be made in the above formulations and methodswithout departing from the scope of the invention, it is intended thatall matter contained in the above description be interpreted asillustrative and not in a limiting sense. All patent documents listedherein are incorporated by reference.

What is claimed is:
 1. A pharmaceutical composition comprising (a)particulate eplerenone having a D₉₀ particle size of about 25 to about400 microns, in an amount of about 10 mg to about 1000 mg, and (b) oneor more pharmaceutically acceptable carrier materials; said compositionbeing an immediate release composition wherein at least about 50% ofsaid eplerenone is dissolved in vitro within about 20 minutes in 0.1NHCl at 37° C.
 2. The composition of claim 1 wherein the eplerenone is inan amount of about 20 mg to about 400 mg.
 3. The composition of claim 1wherein the eplerenone is in an amount of about 25 mg to about 150 mg.4. The composition of claim 1 wherein the eplerenone is in an amount ofabout 25 mg to about 100 mg.
 5. The composition of claim 1 wherein thecarrier materials comprise one or more materials selected from the groupconsisting of purified cellulose, microcrystalline cellulose, andalkylcelluloses and their derivatives and salts.
 6. The composition ofclaim 1 wherein the carrier materials comprise one or morepharmaceutically acceptable binding agents in a total amount of about0.5% to about 25% by weight of the composition.
 7. The composition ofclaim 6 wherein the binding agents are selected from the groupconsisting of acacia, tragacanth, sucrose, gelatin, glucose, starch,celluloses, alginic acid and salts thereof, magnesium aluminum silicate,polyethylene glycol, gums, polysaccharide acids, bentonites,polyvinylpyrrolidone, polymethacrylates, hydroxypropylmethylcellulose,hydroxypropylcellulose, ethylcellulose, and pregelatinized starch. 8.The composition of claim 1 wherein the carrier materials comprise one ormore pharmaceutically acceptable diluents in a total amount of about 5%to about 99% by weight of the composition.
 9. The composition of claim 8wherein the diluents are selected from the group consisting of lactose,starch, mannitol, sorbitol, dextrose, microcrystalline cellulose,dibasic calcium phosphate, sucrose-based diluents, confectioner's sugar,monobasic calcium sulfate monohydrate, calcium sulfate dihydrate,calcium lactate trihydrate, dextrates, inositol, hydrolyzed cerealsolids, amylose, powdered cellulose, calcium carbonate, glycine, andbentonite.
 10. The composition of claim 1 wherein the carrier materialscomprise one or more pharmaceutically acceptable disintegrants in atotal amount of about 0.5% to about 30% by weight of the composition.11. The composition of claim 10 wherein the disintegrants are selectedfrom the group consisting of starches, sodium starch glycolate, clays,celluloses, alginates, pregelatinized corn starches, crospovidone, andgums.
 12. The composition of claim 1 wherein the carrier materialscomprise one or more pharmaceutically acceptable wetting agents in atotal amount of about 0.1% to about 15% by weight of the composition.13. The composition of claim 12 wherein the wetting agents are selectedfrom the group consisting of oleic acid, glyceryl monostearate, sorbitanmonooleate, sorbitan monolaurate, triethanolamine oleate,polyoxyethylene sorbitan monooleate, polyoxyethylene sorbitanmonolaurate, sodium oleate, and sodium lauryl sulfate.
 14. Thecomposition of claim 1 wherein the carrier materials comprise one ormore pharmaceutically acceptable lubricants in a total amount of about0.1% to about 10% by weight of the composition.
 15. The composition ofclaim 14 wherein the lubricants are selected from the group consistingof glyceryl behapate, magnesium, calcium and sodium stearates, stearicacid, hydrogenated vegetable oils, talc, waxes, Stearowet, boric acid,sodium benzoate, sodium acetate, sodium chloride, DL-leucine,polyethylene glycols, sodium oleate, sodium lauryl sulfate, andmagnesium lauryl sulfate.
 16. The composition of claim 1 wherein thecarrier materials comprise one or more pharmaceutically acceptableanti-adherents or glidants in a total amount of about 0.25% to about 10%by weight of the composition.
 17. The composition of claim 16 whereinthe anti-adherents or glidants are selected from the group consisting oftalc, corn starch, DL-leucine, sodium lauryl sulfate, and magnesium,calcium and sodium stearates.
 18. The composition of claim 1 wherein theeplerenone is present in an amount of about 1% to about 90% by weight ofthe composition.
 19. The composition of claim 1 wherein the carriermaterials comprise one or more materials selected from the groupconsisting of diluents, binding agents, disintegrants, wetting agents,lubricants, anti-adherents and glidants.
 20. The composition of claim 1wherein the carrier materials comprise hydroxypropylmethylcellulose. 21.The composition of claim 1 wherein the carrier materials compriselactose.
 22. The composition of claim 1 wherein the carrier materialscomprise microcrystalline cellulose.
 23. The composition of claim 1wherein the carrier materials comprise croscarmellose sodium.
 24. Thecomposition of claim 1 wherein the carrier materials comprise (a)lactose in an amount of about 5% to about 90%; (b) microcrystallinecellulose in an amount of about 5% to about 90%; and (c)hydroxypropylmethylcellulose in an amount of about 0.5% to about 10%;all by weight of the composition.
 25. The composition of claim 24wherein the eplerenone is in an amount of about 1% to about 90% byweight of the composition.
 26. The composition of claim 25 thatcomprises: (a) about 19% to about 40% by weight of eplerenone; (b) about32% to about 52% by weight of lactose; (c) about 8% to about 28% byweight of microcrystalline cellulose; and (d) about 1% to about 8% byweight of hydroxypropylmethylcellulose.
 27. The composition of claim 25that comprises: (a) about 24% to about 35% by weight of eplerenone; (b)about 37% to about 47% by weight of lactose; (c) about 13% to about 23%by weight of microcrystalline cellulose; and (d) about 2% to about 4% byweight of hydroxypropylmethylcellulose; and that further comprises: (e)about 2% to about 6% by weight of croscarmellose sodium.
 28. Thecomposition of claim 27 that comprises: (a) about 28% to about 31% byweight of eplerenone; (b) about 41% to about 43% by weight of lactosemonohydrate; (c) about 17% to about 19% by weight of microcrystallinecellulose; (d) about 2.5% to about 3.5% by weight ofhydroxypropylmethylcellulose; and (e) about 4.5% to about 5.5% by weightof croscarmellose sodium.
 29. The composition of claim 28 that is acoated or uncoated unit dosage tablet, and that prior to coatingcomprises: (a) about 29.4% by weight of eplerenone; (b) about 42% byweight of lactose; (c) about 18.1% by weight of microcrystallinecellulose; (d) about 3% by weight of hydroxypropylmethylcellulose; (e)about 5% by weight of croscarmellose sodium; (f) about 1% by weight oftalc; and (g) about 0.5% by weight of magnesium stearate.
 30. Thecomposition of claim 1 wherein the eplerenone is in an amount of about23 mg to about 27 mg, and wherein the carrier materials comprise: (a)about 34 mg to about 38 mg lactose; (b) about 14 mg to about 17 mgmicrocrystalline cellulose; (c) about 1 mg to about 4 mghydroxypropylmethylcellulose; (d) about 3 mg to about 6 mgcroscarmellose sodium; (e) about 0.25 mg to about 1.5 mg sodium laurylsulfate; (f) about 0.25 mg to about 1.5 mg talc; and (g) about 0.1 mg toabout 1 mg magnesium stearate.
 31. The composition of claim 1 whereinthe eplerenone is in an amount of about 48 mg to about 52 mg, andwherein the carrier materials comprise: (a) about 70 mg to about 73 mglactose; (b) about 29 mg to about 33 mg microcrystalline cellulose; (c)about 4 mg to about 6 mg hydroxypropylmethylcellulose; (d) about 6 mg toabout 10 mg croscarmellose sodium; (e) about 1 mg to about 2.5 mg sodiumlauryl sulfate; (f) about 1 mg to about 2.5 mg talc; and (g) about 1 mgto about 1.5 mg magnesium stearate.
 32. The composition of claim 1wherein the eplerenone is in an amount of about 98 mg to about 102 mg,and wherein the carrier materials comprise: (a) about 141 mg to about145 mg lactose; (b) about 60 mg to about 64 mg microcrystallinecellulose; (c) about 9 mg to about 11 mg hydroxypropylmethylcellulose;(d) about 16 mg to about 18 mg croscarmellose sodium; (e) about 3 mg toabout 4 mg sodium lauryl sulfate; (f) about 3 mg to about 4 mg talc; and(g) about 1 mg to about 2 mg magnesium stearate.
 33. The composition ofclaim 1 that is in a unit oral dosage form.
 34. The composition of claim1 that is in a form of a unit dosage tablet or capsule.
 35. Thecomposition of claim 1 that is in a form of a unit dosage tablet. 36.The composition of claim 35 wherein the tablet is coated.
 37. Thecomposition of claim 1 that is in a form of a unit dosage tablet orcapsule having a 25 mg, 50 mg or 100 mg dose of eplerenone.
 38. Thecomposition of claim 1 that is suitable for once or twice a day oraladministration as an aldosterone receptor blocker.
 39. The compositionof claim 1 that provides a therapeutic effect as an aldosterone receptorblocker in a human subject over an interval of about 12 to about 24hours after ingestion of the composition.
 40. The composition of claim 1that provides a therapeutic effect as an aldosterone receptor blocker ina human subject over an interval of about 24 hours after ingestion. 41.The composition of claim 1 that releases at least 50% of said eplerenonein vitro within 15 minutes in 0.1N HCl.
 42. The composition of claim 33wherein said unit dosage form is a capsule prepared by directencapsulation or a tablet prepared by direct compression.
 43. Thecomposition of claim 33 wherein said unit dosage form is prepared by wetgranulation followed by encapsulation to form a capsule or compressionto form a tablet.
 44. The composition of claim 33 wherein said unitdosage form is prepared by dry granulation followed by encapsulation toform a capsule or compression to form a tablet.
 45. The composition ofclaim 1 wherein the eplerenone has a D₉₀ particle size of about 25 toabout 200 microns.
 46. The composition of claim 1 wherein the eplerenonehas a D₉₀ particle size of about 25 to about 150 microns.
 47. Thecomposition of claim 1 wherein the eplerenone has a D₉₀ particle size ofabout 30 to about 110 microns.
 48. The composition of claim 1 whereinthe eplerenone has a D₉₀ particle size of about 30 to about 50 microns.49. The composition of claim 1 wherein the eplerenone has a D₉₀ particlesize of about 50 to about 150 microns.
 50. The composition of claim 1wherein the eplerenone has a D₉₀ particle size of about 75 to about 125microns.
 51. The composition of claim 1 wherein ingestion of thecomposition by a human subject causes an average increase of at leastabout 10% in blood serum renin concentration in the subject over aninterval of about 12 to about 24 hours after said ingestion.
 52. Thecomposition of claim 1 wherein ingestion of the composition by a humansubject causes an average increase of at least about 50% in blood serumaldosterone concentration in the subject over an interval of about 12 toabout 24 hours after said ingestion.
 53. The composition of claim 1wherein ingestion of the composition by a human subject causes anaverage decrease of at least about 5% in diastolic blood pressure in thesubject over an interval of about 12 to about 24 hours after saidingestion.
 54. A method of treating a condition or disorder wheretreatment with an aldosterone receptor blocker is indicated, the methodcomprising orally administering the composition of claim 1 to a patientin need of such treatment.
 55. The method of claim 54 wherein thecondition or disorder is heart failure.
 56. The method of claim 54wherein the condition or disorder is hypertension.
 57. The method ofclaim 54 wherein the condition or disorder is edema associated withliver insufficiency.
 58. The method of claim 54 wherein the condition ordisorder is post-myocardial infarction.